Provider Demographics
NPI:1679767164
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:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAGDALENE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKHARAMEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-776-9142
Mailing Address - Street 1:9314 CORNER OAKS LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8602
Mailing Address - Country:US
Mailing Address - Phone:713-776-9142
Mailing Address - Fax:713-782-8036
Practice Address - Street 1:9314 CORNER OAKS LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8602
Practice Address - Country:US
Practice Address - Phone:713-776-9142
Practice Address - Fax:713-782-8036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102558310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility