Provider Demographics
NPI:1497759971
Name:TOTAL HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:TOTAL HOME HEALTH CARE INC
Other - Org Name:TOTAL HOME HEALTH CARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:HELLSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-421-1110
Mailing Address - Street 1:437 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-2597
Mailing Address - Country:US
Mailing Address - Phone:570-421-1110
Mailing Address - Fax:570-421-1207
Practice Address - Street 1:437 MAIN ST
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-2597
Practice Address - Country:US
Practice Address - Phone:570-421-1110
Practice Address - Fax:570-421-1207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-13
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0004X
PAPP414088L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011381060001Medicaid
2086650OtherPK
2086650OtherPK