Provider Demographics
NPI:1316371743
Name:TINNARD HOLDINGS, LLC
Entity Type:Organization
Organization Name:TINNARD HOLDINGS, LLC
Other - Org Name:PREMIER HOME CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:TINNARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-437-1261
Mailing Address - Street 1:109 SPORTS ROW
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-8863
Mailing Address - Country:US
Mailing Address - Phone:214-437-1261
Mailing Address - Fax:
Practice Address - Street 1:109 SPORTS ROW
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-8863
Practice Address - Country:US
Practice Address - Phone:214-437-1261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-21
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015954253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care