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NPI Code Detail

MEDICARE: TCTT HOME CARE, INC

MEDICARE: TCTT HOME CARE, INC
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
1333300000XEmergency Response System Companies
2253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1790393726
Entity Type Code : Organization
Provider Name (Legal Business Name) : TCTT HOME CARE, INC
Provider Business Mailing Address
First Line : 130 CRESTED PEAK CT
Second Line :
City : SANTA TERESA
State : NM
Zip : 88008-9423
Country : US
Telephone Number : 575-521-4400
Fax Number : 575-521-4404
Provider Business Practice Location Address
First Line : 755 S TELSHOR BLVD STE Q101
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-4681
Country : US
Telephone Number : 575-521-4400
Fax Number : 575-521-4404
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : MS. TONIA C CROWLEY
Credential :
Telephone Number : 575-915-4393
Provider Enumeration Date : 07/15/2020
Last Update Date : 07/15/2020

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