Provider Demographics
NPI:1750441606
Name:TANDEM HEALTH SERVICES INC
Entity type:Organization
Organization Name:TANDEM HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KOLAWOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LADIPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-980-2009
Mailing Address - Street 1:26077 NELSON WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5664
Mailing Address - Country:US
Mailing Address - Phone:281-980-2009
Mailing Address - Fax:832-514-3646
Practice Address - Street 1:26077 NELSON WAY UNIT 101
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8556
Practice Address - Country:US
Practice Address - Phone:281-980-2009
Practice Address - Fax:832-514-3646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009693251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677993Medicare ID - Type Unspecified