Provider Demographics
NPI:1760206544
Name:TIBS TOTALCARE LLC
Entity type:Organization
Organization Name:TIBS TOTALCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:
Authorized Official - First Name:JOWERIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:NAMATA
Authorized Official - Suffix:
Authorized Official - Credentials:RN/BSN
Authorized Official - Phone:281-971-0283
Mailing Address - Street 1:3003 MILDRED HILL LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1797
Mailing Address - Country:US
Mailing Address - Phone:281-971-0283
Mailing Address - Fax:281-971-0334
Practice Address - Street 1:3003 MILDRED HILL LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1797
Practice Address - Country:US
Practice Address - Phone:281-971-0283
Practice Address - Fax:281-971-0334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care