Provider Demographics
NPI:1710146147
Name:TSM HOME HEALTH, LLC.
Entity Type:Organization
Organization Name:TSM HOME HEALTH, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/DIRECTOR OF NURSES
Authorized Official - Prefix:MR
Authorized Official - First Name:TEOFILO
Authorized Official - Middle Name:NMI
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:956-236-3375
Mailing Address - Street 1:6108 MCPHERSON RD
Mailing Address - Street 2:SUITE #2
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6126
Mailing Address - Country:US
Mailing Address - Phone:956-725-1342
Mailing Address - Fax:956-725-1372
Practice Address - Street 1:6108 MCPHERSON RD.
Practice Address - Street 2:SUITE #2
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6126
Practice Address - Country:US
Practice Address - Phone:956-725-1342
Practice Address - Fax:956-725-1372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX012182251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
747651Medicare Oscar/Certification