Provider Demographics
NPI:1821048000
Name:THHHCI-TENDER HANDS HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:THHHCI-TENDER HANDS HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-465-9908
Mailing Address - Street 1:320 WESTWAY PL
Mailing Address - Street 2:SUITE 505
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-5245
Mailing Address - Country:US
Mailing Address - Phone:817-465-9908
Mailing Address - Fax:817-465-9480
Practice Address - Street 1:320 WESTWAY PL
Practice Address - Street 2:SUITE 505
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-5245
Practice Address - Country:US
Practice Address - Phone:817-465-9908
Practice Address - Fax:817-465-9480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008720251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX453137Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER