Provider Demographics
NPI:1629080593
Name:TEHC, LLC
Entity Type:Organization
Organization Name:TEHC, LLC
Other - Org Name:TEHC HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:VINH
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-715-9560
Mailing Address - Street 1:8669 NW 36TH ST STE 355
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6720
Mailing Address - Country:US
Mailing Address - Phone:305-715-9560
Mailing Address - Fax:305-597-3960
Practice Address - Street 1:182 BARTON BLVD STE B
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-2704
Practice Address - Country:US
Practice Address - Phone:321-453-5535
Practice Address - Fax:321-456-5934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA21404096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650849900Medicaid
FL107718Medicare PIN