MEDICARE: T.C. HOME HEALTH CARE LLC

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

General Provider Information

NPI Number	:	1962817239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T.C. HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	1407 DUPONT DR
Second Line	:
City	:	ORANGE
State	:	TX
Zip	:	77630-7403
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1407 DUPONT DR
Second Line	:
City	:	ORANGE
State	:	TX
Zip	:	77630-7403
Country	:	US
Telephone Number	:	832-573-7701
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JESSICA GONZALEZ
Credential	:
Telephone Number	:	832-573-7701

Provider Enumeration Date	:	06/25/2014
Last Update Date	:	09/05/2014

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