Provider Demographics
NPI:1972987808
Name:HOUSE OF TENDER CARE HOME HEALTH INC
Entity Type:Organization
Organization Name:HOUSE OF TENDER CARE HOME HEALTH INC
Other - Org Name:HOUSE OF TENDER CARE HOME HEALTH INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:468-735-2940
Mailing Address - Street 1:4545 S BUCKNER BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-4207
Mailing Address - Country:US
Mailing Address - Phone:214-791-2863
Mailing Address - Fax:469-914-5434
Practice Address - Street 1:4545 S BUCKNER BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-4207
Practice Address - Country:US
Practice Address - Phone:214-791-2863
Practice Address - Fax:469-914-5434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health