Healthcare Provider Details

I. General information

NPI: 1073242640
Provider Name (Legal Business Name): T&N HOMECARE & MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2022
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 FOSTER LN
ANNA TX
75409-5963
US

IV. Provider business mailing address

219 FOSTER LN
ANNA TX
75409-5963
US

V. Phone/Fax

Practice location:
  • Phone: 972-464-7472
  • Fax: 972-534-1819
Mailing address:
  • Phone: 972-464-7472
  • Fax: 972-534-1819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MUMUO CHRISTABEL FEULEFACK
Title or Position: OWNER
Credential:
Phone: 972-464-7472