MEDICARE: TMG 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1740691989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TMG HOME CARE, INC

Provider Business Mailing Address
First Line	:	5453 CREPE MYRTLE CIR
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34758-1935
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3373 W VINE ST
Second Line	:	STE 204
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-4665
Country	:	US
Telephone Number	:	407-944-0618
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CATHY THOMAS
Credential	:
Telephone Number	:	574-532-8208

Provider Enumeration Date	:	05/09/2014
Last Update Date	:	07/24/2014

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