MEDICARE: SENSELESS TEARS HOME HEALTHCARE MANAGEMENT

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	251J00000X	Nursing Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1790042075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENSELESS TEARS HOME HEALTHCARE MANAGEMENT

Provider Business Mailing Address
First Line	:	12110 GREEN GLADE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-3116
Country	:	US
Telephone Number	:	281-889-4954
Fax Number	:

Provider Business Practice Location Address
First Line	:	12110 GREEN GLADE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-3116
Country	:	US
Telephone Number	:	281-889-4954
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. LATRENDA GORDON
Credential	:
Telephone Number	:	281-889-4954

Provider Enumeration Date	:	04/11/2012
Last Update Date	:	04/11/2012

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