Provider Demographics
NPI:1952467953
Name:TSI HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:TSI HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR /DON
Authorized Official - Prefix:MR
Authorized Official - First Name:TAIWO
Authorized Official - Middle Name:STANLEY
Authorized Official - Last Name:SANGODEYI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-974-0805
Mailing Address - Street 1:9700 RICHMOND AVE
Mailing Address - Street 2:SUITE #108
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4625
Mailing Address - Country:US
Mailing Address - Phone:713-974-0805
Mailing Address - Fax:713-974-0807
Practice Address - Street 1:9700 RICHMOND AVE
Practice Address - Street 2:SUITE #108
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4625
Practice Address - Country:US
Practice Address - Phone:713-974-0805
Practice Address - Fax:713-974-0807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008575251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001013552Medicaid
TX001013553OtherCAB HLSS
679440Medicare ID - Type Unspecified