Humana At Home (Tlc), INC.
Home Health in Irving, TX. Organization (NPI-2).
NPI number1124201215
StatusActive
Last updated in NPPESOct 26, 2020
Details
- NPI
- 1124201215
- Entity type
- Organization (NPI-2)
- Legal business name
- Humana At Home (Tlc), INC.
- Organization subpart
- Yes
- Enumeration date
- Dec 11, 2007
- Certification date
- Oct 26, 2020
- Last updated
- Oct 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 016484 | TX | Yes |
Other names
- Seniorbridge (Doing Business As)
Practice location
2001 W John Carpenter Fwy Ste 142Irving, TX 75063-3255
Phone 972-422-1375 · Fax 972-758-0552
Mailing address
845 3rd Ave7th Floor
New York, NY 10022
Phone 212-994-6100 · Fax 972-758-0552
Authorized official
Dorothy Burns
Director, Clinical Quality
3212587709
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