Provider Demographics
NPI:1457376386
Name:TMC HOME HEALTH INC
Entity Type:Organization
Organization Name:TMC HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:CREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-812-9580
Mailing Address - Street 1:150 HENRY BURSON AVE STE 105B
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-4465
Mailing Address - Country:US
Mailing Address - Phone:770-834-5438
Mailing Address - Fax:770-834-8956
Practice Address - Street 1:150 HENRY BURSON AVE STE 105B
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-4465
Practice Address - Country:US
Practice Address - Phone:770-834-5438
Practice Address - Fax:770-834-8956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
117319Medicare Oscar/Certification