Provider Demographics
NPI:1467675736
Name:MATHAI INC
Entity Type:Organization
Organization Name:MATHAI INC
Other - Org Name:TENDER LOVING CARE HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:IPE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-450-4646
Mailing Address - Street 1:PO BOX 96495
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77213-6495
Mailing Address - Country:US
Mailing Address - Phone:713-450-4646
Mailing Address - Fax:713-450-4006
Practice Address - Street 1:1313 HOLLAND ST
Practice Address - Street 2:BLDG. 2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-2890
Practice Address - Country:US
Practice Address - Phone:713-450-4646
Practice Address - Fax:713-450-4006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000226600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000226600OtherSTATE LICENSE