Provider Demographics
NPI:1679914196
Name:TOWN AND COUNTRY HOME CARE & REHAB, LLC
Entity Type:Organization
Organization Name:TOWN AND COUNTRY HOME CARE & REHAB, LLC
Other - Org Name:NTMC HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF GROWTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:LANIER
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:903-932-1852
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:178 S. MAIN ST.
Mailing Address - City:VAN ALSTYNE
Mailing Address - State:TX
Mailing Address - Zip Code:75495-0277
Mailing Address - Country:US
Mailing Address - Phone:903-487-4245
Mailing Address - Fax:855-498-3325
Practice Address - Street 1:112 N DIXON ST STE B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-3919
Practice Address - Country:US
Practice Address - Phone:940-668-2094
Practice Address - Fax:888-767-4783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011486251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX011486OtherTDADS
TX011486OtherTDADS