Provider Demographics
NPI:1134268675
Name:TEMPCARE HOMEHEALTH SERVICES, INC.
Entity type:Organization
Organization Name:TEMPCARE HOMEHEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARIGOVINDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMPOOTHIRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-541-4410
Mailing Address - Street 1:26 S CORIA ST STE E
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-7566
Mailing Address - Country:US
Mailing Address - Phone:956-541-4410
Mailing Address - Fax:956-541-4434
Practice Address - Street 1:26 S CORIA ST STE E
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7566
Practice Address - Country:US
Practice Address - Phone:956-541-4410
Practice Address - Fax:956-541-4434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002897251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX002897OtherSTATE LICENSE NUMBER
TX02385601Medicaid
TX458093Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER