MEDICARE: TF HOME CARE WITH HEART, 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	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	019976	OTHER	TX	PERSONAL ASSISTANCE SERVICES

General Provider Information

NPI Number	:	1891329561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TF HOME CARE WITH HEART, INC.

Provider Business Mailing Address
First Line	:	18001 HIGHWAY 105 W STE 200
Second Line	:
City	:	MONTGOMERY
State	:	TX
Zip	:	77356-2881
Country	:	US
Telephone Number	:	936-274-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	18001 HIGHWAY 105 W STE 200
Second Line	:
City	:	MONTGOMERY
State	:	TX
Zip	:	77356-2881
Country	:	US
Telephone Number	:	936-274-9200
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. TAMMIE DENISE SMITH
Credential	:
Telephone Number	:	936-274-9200

Provider Enumeration Date	:	03/02/2020
Last Update Date	:	09/18/2020

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