Healthcare Provider Details

I. General information

NPI: 1184505513
Provider Name (Legal Business Name): THALINA HOMECARE COMPANION AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2418 LEANING PINE ST
OCOEE FL
34761-7612
US

IV. Provider business mailing address

2418 LEANING PINE ST
OCOEE FL
34761-7612
US

V. Phone/Fax

Practice location:
  • Phone: 321-557-8588
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ECLENA MATEL
Title or Position: HHA
Credential: HHA
Phone: 321-557-8588