MEDICARE: GRIFFIN HOME HEALTH SERVICES

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	225100000X	Physical Therapist	PT9180	FL
2	225X00000X	Occupational Therapist	OT10468	FL

General Provider Information

NPI Number	:	1598945222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRIFFIN HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	7947 CROSIER CT
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-1331
Country	:	US
Telephone Number	:	727-848-5156
Fax Number	:	727-848-5156

Provider Business Practice Location Address
First Line	:	7947 CROSIER CT
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-1331
Country	:	US
Telephone Number	:	727-848-5156
Fax Number	:	727-848-5156

Authorized Official
Title or Position	:	OWNER
Name	:	TIMOTHY PATRICK GRIFFIN
Credential	:	OTRL
Telephone Number	:	727-848-5156

Provider Enumeration Date	:	11/09/2007
Last Update Date	:	11/16/2007

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Directions to “GRIFFIN HOME HEALTH SERVICES ” Practice Location

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