Provider Demographics
NPI:1780064337
Name:ST ANNAS TENDER CARE INC
Entity type:Organization
Organization Name:ST ANNAS TENDER CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEFOPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-925-7681
Mailing Address - Street 1:10101 FONDREN RD STE 221
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-5675
Mailing Address - Country:US
Mailing Address - Phone:832-925-7681
Mailing Address - Fax:832-962-7940
Practice Address - Street 1:635 BOLD RULER DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-6357
Practice Address - Country:US
Practice Address - Phone:832-925-7681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health