Provider Demographics
NPI:1073551099
Name:TOTAL PATIENT CARE HOME HEALTH, LLC
Entity Type:Organization
Organization Name:TOTAL PATIENT CARE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:ARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-399-1142
Mailing Address - Street 1:6820 SOUTHPOINT PKWY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-6276
Mailing Address - Country:US
Mailing Address - Phone:904-399-1142
Mailing Address - Fax:904-346-4380
Practice Address - Street 1:6820 SOUTHPOINT PKWY
Practice Address - Street 2:SUITE 4
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6276
Practice Address - Country:US
Practice Address - Phone:904-399-1142
Practice Address - Fax:904-346-4380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21661096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL50968100Medicaid
FL278497OtherAVMED
FLJL2OtherBC/BS FEDERAL
FLJL2OtherBC/BS OF FLORIDA
FL=========OtherVA
FL278497OtherAVMED
FLJL2OtherBC/BS FEDERAL