Provider Demographics
NPI:1790393726
Name:TCTT HOME CARE, INC
Entity Type:Organization
Organization Name:TCTT HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TONIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:CROWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-915-4393
Mailing Address - Street 1:130 CRESTED PEAK CT
Mailing Address - Street 2:
Mailing Address - City:SANTA TERESA
Mailing Address - State:NM
Mailing Address - Zip Code:88008-9423
Mailing Address - Country:US
Mailing Address - Phone:575-521-4400
Mailing Address - Fax:575-521-4404
Practice Address - Street 1:755 S TELSHOR BLVD STE Q101
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-4681
Practice Address - Country:US
Practice Address - Phone:575-521-4400
Practice Address - Fax:575-521-4404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No333300000XSuppliersEmergency Response System Companies