Provider Demographics
NPI:1053593970
Name:TEXAS TENDER CARE HOME, INC
Entity type:Organization
Organization Name:TEXAS TENDER CARE HOME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAGDALENE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKHARAMEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-782-8035
Mailing Address - Street 1:7457 HARWIN DRIVE
Mailing Address - Street 2:SUITE #325
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2094
Mailing Address - Country:US
Mailing Address - Phone:713-782-8035
Mailing Address - Fax:713-782-8036
Practice Address - Street 1:7457 HARWIN DRIVE
Practice Address - Street 2:SUITE #325
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2094
Practice Address - Country:US
Practice Address - Phone:713-782-8035
Practice Address - Fax:713-782-8036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009713251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001014542Medicaid
TX677844Medicare Oscar/Certification