MEDICARE: DYNAMIC HOME HEALTH CARE SERVICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	385H00000X	Respite Care
3	343900000X	Non-emergency Medical Transport (VAN)
4	251C00000X	Developmentally Disabled Services Day Training Agency
5	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073246120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DYNAMIC HOME HEALTH CARE SERVICE LLC

Provider Business Mailing Address
First Line	:	2133 S COMBEE RD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33801-6857
Country	:	US
Telephone Number	:	863-937-3658
Fax Number	:	863-583-8374

Provider Business Practice Location Address
First Line	:	2133 S COMBEE RD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33801-6857
Country	:	US
Telephone Number	:	863-937-3658
Fax Number	:	863-583-8374

Authorized Official
Title or Position	:	CEO
Name	:	TARSHA SEAY TROUTMAN
Credential	:
Telephone Number	:	863-669-5106

Provider Enumeration Date	:	07/06/2022
Last Update Date	:	12/31/2025

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Directions to “DYNAMIC HOME HEALTH CARE SERVICE LLC ” Practice Location

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