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NPI Code Detail

MEDICARE: AT TALITHA CUMI HOME CARE, INC

MEDICARE: AT TALITHA CUMI HOME CARE, INC
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
1253Z00000XIn Home Supportive Care Agency
23747A0650XAttendant Care Provider
3376J00000XHomemaker
4253Z00000XIn Home Supportive Care Agency232879FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710300694
Entity Type Code : Organization
Provider Name (Legal Business Name) : AT TALITHA CUMI HOME CARE, INC
Provider Business Mailing Address
First Line : 1840 W 49TH ST STE 224
Second Line :
City : HIALEAH
State : FL
Zip : 33012-2949
Country : US
Telephone Number : 786-452-1226
Fax Number : 786-452-1227
Provider Business Practice Location Address
First Line : 14499 N DALE MABRY HWY STE 149S
Second Line :
City : TAMPA
State : FL
Zip : 33618-2071
Country : US
Telephone Number : 786-452-1226
Fax Number : 786-452-1227
Authorized Official
Title or Position : PRESIDENT
Name : YASHIRA M RIVAS
Credential :
Telephone Number : 786-454-7021
Provider Enumeration Date : 01/28/2014
Last Update Date : 07/14/2023

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