Provider Demographics
NPI:1417964339
Name:TOTAL HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:TOTAL HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ILANES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-502-8188
Mailing Address - Street 1:2332 LUDLAM RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1846
Mailing Address - Country:US
Mailing Address - Phone:786-502-8188
Mailing Address - Fax:786-502-8027
Practice Address - Street 1:2332 LUDLAM RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1846
Practice Address - Country:US
Practice Address - Phone:786-502-8188
Practice Address - Fax:786-502-8027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL30212005OtherNURSE REGISTRY 30212005
FL461270102OtherAHCA NURSE REGISTRY