MEDICARE: TLAY HEALTHCARE SERVICES 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	251E00000X	Home Health 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	:	1386835874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TLAY HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	1870 W GRANADA BLVD
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-5712
Country	:	US
Telephone Number	:	904-794-7601
Fax Number	:	904-794-7602

Provider Business Practice Location Address
First Line	:	1870 W GRANADA BLVD
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-5712
Country	:	US
Telephone Number	:	904-794-7601
Fax Number	:	904-794-7602

Authorized Official
Title or Position	:	PRESIDENT OF HOME HEALTH
Name	:	MARCELLA LYNCH
Credential	:
Telephone Number	:	470-392-9412

Provider Enumeration Date	:	08/08/2007
Last Update Date	:	02/18/2026

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