Healthcare Provider Details

I. General information

NPI: 1174440580
Provider Name (Legal Business Name): TATA HEALTH CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 MARJORIE BLVD
LONGWOOD FL
32750-4629
US

IV. Provider business mailing address

348 MARJORIE BLVD
LONGWOOD FL
32750-4629
US

V. Phone/Fax

Practice location:
  • Phone: 407-731-2176
  • Fax:
Mailing address:
  • Phone: 407-731-2176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LOATA TUIKABA
Title or Position: ADMINISTRATOR
Credential: OWNER
Phone: 407-731-2176