Provider Demographics
NPI:1669631446
Name:TAMCARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:TAMCARE HOME HEALTH LLC
Other - Org Name:RELIANT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-390-7733
Mailing Address - Street 1:10470 VISTA DEL SOL DR STE 108
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-7928
Mailing Address - Country:US
Mailing Address - Phone:915-234-2729
Mailing Address - Fax:
Practice Address - Street 1:10470 VISTA DEL SOL DR STE 108
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7928
Practice Address - Country:US
Practice Address - Phone:915-234-2729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
TX015348251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX74-7070Medicare PIN
TX0005OtherEIN LAST FOUR DIGITS