MEDICARE: TOTAL HOME HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1205599487
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	5711 S. 129 STREET
Second Line	:	TRLR 24
City	:	SEATTLE
State	:	WA
Zip	:	98178-4656
Country	:	US
Telephone Number	:	206-330-7762
Fax Number	:	253-234-4306

Provider Business Practice Location Address
First Line	:	5711 S. 129 STREET
Second Line	:	TRLR 24
City	:	SEATTLE
State	:	WA
Zip	:	98178-9817
Country	:	US
Telephone Number	:	206-330-7762
Fax Number	:	253-234-4306

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	MR. VASILE STANA
Credential	:	RN
Telephone Number	:	206-330-7762

Provider Enumeration Date	:	10/14/2021
Last Update Date	:	10/14/2021

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