Provider Demographics
NPI:1427814680
Name:TULIP HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:TULIP HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IJEOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDIDIONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-770-1090
Mailing Address - Street 1:15235 MILLERS RUN LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-2147
Mailing Address - Country:US
Mailing Address - Phone:832-770-1090
Mailing Address - Fax:
Practice Address - Street 1:15235 MILLERS RUN LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-2147
Practice Address - Country:US
Practice Address - Phone:832-770-1090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care