Provider Demographics
NPI:1073374955
Name:TOTAL HOME SENIOR CARE LLC
Entity Type:Organization
Organization Name:TOTAL HOME SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:WEIGEL
Authorized Official - Suffix:
Authorized Official - Credentials:RAL ACADEMY
Authorized Official - Phone:859-663-0238
Mailing Address - Street 1:235 AMBASSADOR DR
Mailing Address - Street 2:
Mailing Address - City:DRY RIDGE
Mailing Address - State:KY
Mailing Address - Zip Code:41035-7181
Mailing Address - Country:US
Mailing Address - Phone:859-663-0238
Mailing Address - Fax:
Practice Address - Street 1:235 AMBASSADOR DR
Practice Address - Street 2:
Practice Address - City:DRY RIDGE
Practice Address - State:KY
Practice Address - Zip Code:41035-7181
Practice Address - Country:US
Practice Address - Phone:859-663-0238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care