Provider Demographics
NPI:1902117880
Name:TGP ENTERPRISES INC
Entity Type:Organization
Organization Name:TGP ENTERPRISES INC
Other - Org Name:COMFORCARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-462-2400
Mailing Address - Street 1:209 MORTHLAND DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-6206
Mailing Address - Country:US
Mailing Address - Phone:219-462-4600
Mailing Address - Fax:
Practice Address - Street 1:209 MORTHLAND DR
Practice Address - Street 2:SUITE 2
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-6206
Practice Address - Country:US
Practice Address - Phone:219-462-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10-012316-1253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care