MEDICARE: TOTAL HOME HEALTH CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30212005	OTHER	FL	NURSE REGISTRY 30212005
2	461270102	OTHER	FL	AHCA NURSE REGISTRY

General Provider Information

NPI Number	:	1417964339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	2332 LUDLAM RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1846
Country	:	US
Telephone Number	:	786-502-8188
Fax Number	:	786-502-8027

Provider Business Practice Location Address
First Line	:	2332 LUDLAM RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1846
Country	:	US
Telephone Number	:	786-502-8188
Fax Number	:	786-502-8027

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. MANUEL ILANES
Credential	:
Telephone Number	:	786-502-8188

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	03/05/2019

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Directions to “TOTAL HOME HEALTH CARE INC ” Practice Location

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