Provider Demographics
NPI:1942497128
Name:T & B HOMECARE SERVICES
Entity Type:Organization
Organization Name:T & B HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:TONEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:318-574-5040
Mailing Address - Street 1:1841 HENDERSON LOOP
Mailing Address - Street 2:
Mailing Address - City:SONDHEIMER
Mailing Address - State:LA
Mailing Address - Zip Code:71276-4848
Mailing Address - Country:US
Mailing Address - Phone:318-552-6203
Mailing Address - Fax:
Practice Address - Street 1:310 DABNEY ST
Practice Address - Street 2:
Practice Address - City:TALLULAH
Practice Address - State:LA
Practice Address - Zip Code:71282-4232
Practice Address - Country:US
Practice Address - Phone:318-574-5040
Practice Address - Fax:318-574-5090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2007-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPCA 140263747P1801X
LASIL20011385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385H00000XRespite Care FacilityRespite Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty