MEDICARE: T & B HOMECARE SERVICES

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	3747P1801X	Personal Care Attendant	PCA 14026	LA
2	385H00000X	Respite Care	SIL20011	LA

General Provider Information

NPI Number	:	1942497128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T & B HOMECARE SERVICES

Provider Business Mailing Address
First Line	:	1841 HENDERSON LOOP
Second Line	:
City	:	SONDHEIMER
State	:	LA
Zip	:	71276-4848
Country	:	US
Telephone Number	:	318-552-6203
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 DABNEY ST
Second Line	:
City	:	TALLULAH
State	:	LA
Zip	:	71282-4232
Country	:	US
Telephone Number	:	318-574-5040
Fax Number	:	318-574-5090

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. TONEY R. MITCHELL SR.
Credential	:
Telephone Number	:	318-574-5040

Provider Enumeration Date	:	10/01/2007
Last Update Date	:	10/08/2007

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Directions to “T & B HOMECARE SERVICES ” Practice Location

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