Provider Demographics
NPI:1952575482
Name:TTCM 1 LP
Entity Type:Organization
Organization Name:TTCM 1 LP
Other - Org Name:HICO CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LIMITED PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CYDNIE
Authorized Official - Middle Name:G
Authorized Official - Last Name:LANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-796-2111
Mailing Address - Street 1:PO BOX G
Mailing Address - Street 2:
Mailing Address - City:HICO
Mailing Address - State:TX
Mailing Address - Zip Code:76457-0200
Mailing Address - Country:US
Mailing Address - Phone:254-796-2111
Mailing Address - Fax:254-796-2327
Practice Address - Street 1:712 RAILRAOD ST
Practice Address - Street 2:PO DRAWER G
Practice Address - City:HICO
Practice Address - State:TX
Practice Address - Zip Code:76457-0200
Practice Address - Country:US
Practice Address - Phone:254-796-2111
Practice Address - Fax:254-796-2327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility