=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932122991
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | E-N TENDER CARE HOME HEALTH, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/25/2006
-----------------------------------------------------
Last Update Date | 12/22/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2501 BISON CT
-----------------------------------------------------
City | GARLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75044-5594
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-912-6407
-----------------------------------------------------
Fax | 972-530-2951
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2501 BISON CT
-----------------------------------------------------
City | GARLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75044-5594
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-912-6407
-----------------------------------------------------
Fax | 972-530-2951
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR/CFO/OWNER
-----------------------------------------------------
Name | JULIANA CHRISTOPHER ESSIEN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 214-912-6407
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 010372
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------