MEDICARE: TOTAL SENIOR HOME HEALTH 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
1	251E00000X	Home Health Agency	108260	FL
2	251E00000X	Home Health Agency	299992229	FL

General Provider Information

NPI Number	:	1811095268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL SENIOR HOME HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	12800 UNIVERSITY DR
Second Line	:	SUITE 335
City	:	FORT MYERS
State	:	FL
Zip	:	33907-5332
Country	:	US
Telephone Number	:	239-390-2032
Fax Number	:	239-495-0628

Provider Business Practice Location Address
First Line	:	12800 UNIVERSITY DR
Second Line	:	SUITE 335
City	:	FORT MYERS
State	:	FL
Zip	:	33907-5332
Country	:	US
Telephone Number	:	239-390-2032
Fax Number	:	239-495-0628

Authorized Official
Title or Position	:	CEO
Name	:	THOMAS W REED
Credential	:
Telephone Number	:	239-444-6014

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	10/28/2011

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