MEDICARE: TENDER CARE MEDICAL SERVICES OF HOUSTON, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM3000X	Medically Fragile Infants and Children Day Care

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467031195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENDER CARE MEDICAL SERVICES OF HOUSTON, INC.

Provider Business Mailing Address
First Line	:	PO BOX 5159
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34611-5159
Country	:	US
Telephone Number	:	352-683-6831
Fax Number	:

Provider Business Practice Location Address
First Line	:	748 CRABB RIVER RD
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-5678
Country	:	US
Telephone Number	:	832-699-0800
Fax Number	:

Authorized Official
Title or Position	:	BILLING COORDINATOR
Name	:	LORI MAZZUCO
Credential	:
Telephone Number	:	352-683-6831

Provider Enumeration Date	:	04/08/2021
Last Update Date	:	03/12/2026

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