Provider Demographics
NPI:1811400153
Name:TD HOMECARE AND ATTENDANT SERVICE INC
Entity Type:Organization
Organization Name:TD HOMECARE AND ATTENDANT SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRY-BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:914-474-8720
Mailing Address - Street 1:3500 ROCKMONT DR APT 1307
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1073
Mailing Address - Country:US
Mailing Address - Phone:914-474-8720
Mailing Address - Fax:
Practice Address - Street 1:3500 ROCKMONT DR APT 1307
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1073
Practice Address - Country:US
Practice Address - Phone:914-474-8720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1642751251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO00000000000OtherMEDICADE