Healthcare Provider Details

I. General information

NPI: 1902974470
Provider Name (Legal Business Name): TLAY HEALTHCARE SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 W GRANADA BLVD
ORMOND BEACH FL
32174-5712
US

IV. Provider business mailing address

1870 W GRANADA BLVD
ORMOND BEACH FL
32174-5712
US

V. Phone/Fax

Practice location:
  • Phone: 904-794-7601
  • Fax: 904-794-7602
Mailing address:
  • Phone: 904-794-7601
  • Fax: 904-794-7602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299992514
License Number StateFL

VIII. Authorized Official

Name: MARCELLA LYNCH
Title or Position: PRESIDENT OF HOME HEALTH
Credential:
Phone: 470-392-9412