Provider Demographics
NPI:1053946392
Name:T & M CARE LLC
Entity type:Organization
Organization Name:T & M CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEROY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:TYREE
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:312-610-2175
Mailing Address - Street 1:7230 S TALMAN
Mailing Address - Street 2:APT 4
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60629
Mailing Address - Country:US
Mailing Address - Phone:708-838-6960
Mailing Address - Fax:
Practice Address - Street 1:7230 S TALMAN
Practice Address - Street 2:APT 4
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60629
Practice Address - Country:US
Practice Address - Phone:708-838-6960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-06
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care