MEDICARE: TOTAL SOLUTION HOME HEALTH, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1689827719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL SOLUTION HOME HEALTH, INC

Provider Business Mailing Address
First Line	:	9500 NW 77TH AVE
Second Line	:	SUITE 26
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2530
Country	:	US
Telephone Number	:	305-558-9123
Fax Number	:	305-558-9124

Provider Business Practice Location Address
First Line	:	9500 NW 77TH AVE
Second Line	:	SUITE 26
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2530
Country	:	US
Telephone Number	:	305-558-9123
Fax Number	:	305-558-9124

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. ALINA CHOY-PEREZ
Credential	:
Telephone Number	:	305-558-9123

Provider Enumeration Date	:	11/03/2008
Last Update Date	:	11/03/2008

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