Provider Demographics
NPI:1619922739
Name:TTPM HOME CARE
Entity type:Organization
Organization Name:TTPM HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:CICORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-737-0920
Mailing Address - Street 1:530 W CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14905-2526
Mailing Address - Country:US
Mailing Address - Phone:607-737-0920
Mailing Address - Fax:607-732-1812
Practice Address - Street 1:530 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14905-2526
Practice Address - Country:US
Practice Address - Phone:607-737-0920
Practice Address - Fax:607-732-1812
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TWIN TIER PHYSCIANS MANAGEMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-24
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE01111917Medicaid
NE01111917Medicaid