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NPI Code Detail

MEDICARE: TIANA HOME CARE LLC

MEDICARE: TIANA HOME CARE 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
1253Z00000XIn Home Supportive Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609421783
Entity Type Code : Organization
Provider Name (Legal Business Name) : TIANA HOME CARE LLC
Provider Business Mailing Address
First Line : 3600 S STATE ROAD 7 STE 355
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-7203
Country : US
Telephone Number : 786-428-8606
Fax Number : 954-212-2617
Provider Business Practice Location Address
First Line : 3600 S STATE ROAD 7 STE 355
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-7203
Country : US
Telephone Number : 786-428-8606
Fax Number : 954-212-2617
Authorized Official
Title or Position : ADMINISTRATOR
Name : TIANA C MILLER
Credential : HHA
Telephone Number : 786-428-8606
Provider Enumeration Date : 08/06/2019
Last Update Date : 08/06/2019

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Directions to “TIANA HOME CARE LLC ” Practice Location

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