Provider Demographics
NPI:1275399073
Name:TUMAVILLE LLC
Entity Type:Organization
Organization Name:TUMAVILLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:TUMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-770-5352
Mailing Address - Street 1:7213 SERPENTINE DR
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-2315
Mailing Address - Country:US
Mailing Address - Phone:678-770-5352
Mailing Address - Fax:
Practice Address - Street 1:7213 SERPENTINE DR
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-2315
Practice Address - Country:US
Practice Address - Phone:678-770-5352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty