=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245509520
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TAMSCARE HOME HEALTH SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/15/2011
-----------------------------------------------------
Last Update Date | 12/15/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3326 CHAPELWOOD DR
-----------------------------------------------------
City | SUNNYVALE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75182-4004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-226-4924
-----------------------------------------------------
Fax | 214-666-8939
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3326 CHAPELWOOD DR
-----------------------------------------------------
City | SUNNYVALE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75182-4004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-226-4924
-----------------------------------------------------
Fax | 214-666-8939
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VICE PRESIDENT/ADMINISTRATOR
-----------------------------------------------------
Name | TARA KOSHY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 972-226-4924
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------