Healthcare Provider Details

I. General information

NPI: 1417964339
Provider Name (Legal Business Name): TOTAL HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 03/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2332 LUDLAM RD
MIAMI FL
33155-1846
US

IV. Provider business mailing address

2332 LUDLAM RD
MIAMI FL
33155-1846
US

V. Phone/Fax

Practice location:
  • Phone: 786-502-8188
  • Fax: 786-502-8027
Mailing address:
  • Phone: 786-502-8188
  • Fax: 786-502-8027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. MANUEL ILANES
Title or Position: ADMINISTRATOR
Credential:
Phone: 786-502-8188