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NPI Code Detail

MEDICARE: TNR HEARTS HOMECARE SERVICES LLC

MEDICARE: TNR HEARTS HOMECARE 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
1372600000XAdult Companion
2253Z00000XIn Home Supportive Care Agency

Other Identifiers

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

General Provider Information

NPI Number : 1538735469
Entity Type Code : Organization
Provider Name (Legal Business Name) : TNR HEARTS HOMECARE SERVICES LLC
Provider Business Mailing Address
First Line : 1707 W REYNOLDS ST STE 104
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-4737
Country : US
Telephone Number : 813-706-1868
Fax Number : 800-867-6109
Provider Business Practice Location Address
First Line : 1707 W REYNOLDS ST STE 104
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-4737
Country : US
Telephone Number : 813-706-1868
Fax Number :
Authorized Official
Title or Position : OWNER/CEO
Name : TARSHUA JENNINGS
Credential :
Telephone Number : 813-706-1868
Provider Enumeration Date : 06/01/2021
Last Update Date : 07/10/2023

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