Healthcare Provider Details

I. General information

NPI: 1053246892
Provider Name (Legal Business Name): TC COMPASSION HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7224 W COLONIAL DR
ORLANDO FL
32818-6743
US

IV. Provider business mailing address

7224 W COLONIAL DR
ORLANDO FL
32818-6743
US

V. Phone/Fax

Practice location:
  • Phone: 407-579-7633
  • Fax: 407-579-7633
Mailing address:
  • Phone: 407-579-7633
  • Fax: 407-579-7633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PHONIQUE FORMEUS
Title or Position: ADMINISTATOR
Credential:
Phone: 407-579-7633