MEDICARE: TALGOOD ENTERPRISES, 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		FL

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	:	1720390016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TALGOOD ENTERPRISES, LLC

Provider Business Mailing Address
First Line	:	3896 BURNS RD
Second Line	:	SUITE 103
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4222
Country	:	US
Telephone Number	:	561-842-1932
Fax Number	:	561-622-0470

Provider Business Practice Location Address
First Line	:	3896 BURNS RD
Second Line	:	SUITE 103
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4222
Country	:	US
Telephone Number	:	561-842-1932
Fax Number	:	561-622-0470

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. ROSS GOODSON
Credential	:
Telephone Number	:	561-842-1932

Provider Enumeration Date	:	07/02/2010
Last Update Date	:	07/02/2010

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