Provider Demographics
NPI:1285284869
Name:TENDER CARE HCS AND TXHML INC
Entity type:Organization
Organization Name:TENDER CARE HCS AND TXHML INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:K
Authorized Official - Last Name:FALUADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-357-8995
Mailing Address - Street 1:15710 SPRINGFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7155
Mailing Address - Country:US
Mailing Address - Phone:713-357-8995
Mailing Address - Fax:
Practice Address - Street 1:15710 SPRINGFIELD DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-7155
Practice Address - Country:US
Practice Address - Phone:713-357-8995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-16
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000-00Medicaid