Provider Demographics
NPI:1073555694
Name:TEN LAC INC
Entity Type:Organization
Organization Name:TEN LAC INC
Other - Org Name:ONLY LOVE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:956-537-7790
Mailing Address - Street 1:5500 N 29TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-5109
Mailing Address - Country:US
Mailing Address - Phone:956-631-8844
Mailing Address - Fax:956-631-8855
Practice Address - Street 1:5500 N 29TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-5109
Practice Address - Country:US
Practice Address - Phone:956-631-8844
Practice Address - Fax:956-631-8855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012337251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
74-7404OtherCMS CERTIFICATION #
TX1995383Medicaid