Provider Demographics
NPI:1780028381
Name:TARRANT COUNTY SAMARITAN HOUSING, INC.
Entity Type:Organization
Organization Name:TARRANT COUNTY SAMARITAN HOUSING, INC.
Other - Org Name:SAMARITAN HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT & COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TED
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOVATO
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:817-332-6410
Mailing Address - Street 1:929 HEMPHILL ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3126
Mailing Address - Country:US
Mailing Address - Phone:817-332-6410
Mailing Address - Fax:817-332-6409
Practice Address - Street 1:929 HEMPHILL ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3126
Practice Address - Country:US
Practice Address - Phone:817-332-6410
Practice Address - Fax:817-332-6409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX022251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable