Provider Demographics
NPI:1578102836
Name:THOMAS SUPPORTS SERVICES LLC
Entity Type:Organization
Organization Name:THOMAS SUPPORTS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:MARCEL
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-617-0777
Mailing Address - Street 1:15 E MAGNOLIA AVE STE 3B
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-3472
Mailing Address - Country:US
Mailing Address - Phone:352-617-0777
Mailing Address - Fax:352-251-1911
Practice Address - Street 1:4916 CAPE HATTERAS DR
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34714-5294
Practice Address - Country:US
Practice Address - Phone:352-617-0777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care