MEDICARE: TEHC, LLC

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		FL

General Provider Information

NPI Number	:	1588777809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEHC, LLC

Provider Business Mailing Address
First Line	:	8525 NW 53RD TER
Second Line	:	SUITE 200
City	:	MIAMI
State	:	FL
Zip	:	33166-4535
Country	:	US
Telephone Number	:	305-715-9560
Fax Number	:	305-597-3960

Provider Business Practice Location Address
First Line	:	3317 NW 10TH TER
Second Line	:	# 404
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-5941
Country	:	US
Telephone Number	:	954-351-1895
Fax Number	:	954-351-1820

Authorized Official
Title or Position	:	DIRECTOR OF REIMBURSEMENT
Name	:	MR. VINH BENNETT
Credential	:
Telephone Number	:	305-715-9560

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	08/22/2020

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