Provider Demographics
NPI:1073640348
Name:TENSAS HOME HEALTH INC
Entity Type:Organization
Organization Name:TENSAS HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC TREASURE
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:GROCE
Authorized Official - Suffix:
Authorized Official - Credentials:CO OWNER
Authorized Official - Phone:318-467-2028
Mailing Address - Street 1:PO BOX 598
Mailing Address - Street 2:
Mailing Address - City:NEWELLTON
Mailing Address - State:LA
Mailing Address - Zip Code:71357
Mailing Address - Country:US
Mailing Address - Phone:318-467-2028
Mailing Address - Fax:318-467-2073
Practice Address - Street 1:1010 VERONA ST
Practice Address - Street 2:
Practice Address - City:NEWELLTON
Practice Address - State:LA
Practice Address - Zip Code:71357
Practice Address - Country:US
Practice Address - Phone:318-467-2028
Practice Address - Fax:318-467-2073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA402251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA197415Medicare Oscar/Certification