MEDICARE: THHHCI-TENDER HANDS HOME HEALTH 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
1	251E00000X	Home Health Agency	008720	TX

General Provider Information

NPI Number	:	1821048000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THHHCI-TENDER HANDS HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	320 WESTWAY PL
Second Line	:	SUITE 505
City	:	ARLINGTON
State	:	TX
Zip	:	76018-5245
Country	:	US
Telephone Number	:	817-465-9908
Fax Number	:	817-465-9480

Provider Business Practice Location Address
First Line	:	320 WESTWAY PL
Second Line	:	SUITE 505
City	:	ARLINGTON
State	:	TX
Zip	:	76018-5245
Country	:	US
Telephone Number	:	817-465-9908
Fax Number	:	817-465-9480

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. ANGELA MASTERS
Credential	:
Telephone Number	:	817-465-9908

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	06/20/2008

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