MEDICARE: TINTRICE HOME OF NURTURE LLC

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	163WC1500X	Community Health Registered Nurse

General Provider Information

NPI Number	:	1598630865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TINTRICE HOME OF NURTURE LLC

Provider Business Mailing Address
First Line	:	11211 STABLEWOOD MEADOW TRL
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-3211
Country	:	US
Telephone Number	:	281-912-7790
Fax Number	:	281-912-7790

Provider Business Practice Location Address
First Line	:	11211 STABLEWOOD MEADOW TRL
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-3211
Country	:	US
Telephone Number	:	281-912-7790
Fax Number	:	281-912-7790

Authorized Official
Title or Position	:	MEMBER/OWNER
Name	:	BEATRICE ABRAHAM
Credential	:	RN
Telephone Number	:	281-912-7790

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	10/07/2025

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