Provider Demographics
NPI:1851030654
Name:TREEHOUSE FOR FRIENDS LLC HOME HEALTHCARE AGENCY
Entity Type:Organization
Organization Name:TREEHOUSE FOR FRIENDS LLC HOME HEALTHCARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFIANY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROUNTREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-790-5040
Mailing Address - Street 1:310 CROWFOOT DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2652
Mailing Address - Country:US
Mailing Address - Phone:254-338-7118
Mailing Address - Fax:
Practice Address - Street 1:310 CROWFOOT DR
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-2652
Practice Address - Country:US
Practice Address - Phone:254-338-7118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty