MEDICARE: TJM HOME HEALTH CARE

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	251E00000X	Home Health Agency	299992627	FL

General Provider Information

NPI Number	:	1487960555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TJM HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	333 17TH ST STE 2R-3
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5670
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 17TH ST STE 2R-3
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5670
Country	:	US
Telephone Number	:	772-257-0442
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTOR
Name	:	MR. THOMAS J MICHAELS
Credential	:
Telephone Number	:	772-257-0442

Provider Enumeration Date	:	08/26/2010
Last Update Date	:	08/26/2010

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Directions to “TJM HOME HEALTH CARE ” Practice Location

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