Provider Demographics
NPI:1235487265
Name:TARRANT HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:TARRANT HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HARSHITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAVALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-903-6659
Mailing Address - Street 1:1817 TURNER RIDGE DR
Mailing Address - Street 2:APT 12101
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110-7439
Mailing Address - Country:US
Mailing Address - Phone:916-903-6659
Mailing Address - Fax:
Practice Address - Street 1:1817 TURNER RIDGE DR
Practice Address - Street 2:APT 12101
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76110-7439
Practice Address - Country:US
Practice Address - Phone:916-903-6659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-23
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health