Provider Demographics
NPI:1710310339
Name:TOTAL CARE HOME SERVICES, INC.
Entity Type:Organization
Organization Name:TOTAL CARE HOME SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:RAFAELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-483-8871
Mailing Address - Street 1:2550 NW 72ND AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1345
Mailing Address - Country:US
Mailing Address - Phone:407-483-8871
Mailing Address - Fax:407-483-8872
Practice Address - Street 1:3375 W VINE ST STE 202
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4665
Practice Address - Country:US
Practice Address - Phone:407-483-8871
Practice Address - Fax:407-483-8872
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTAL CARE HOME SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-19
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010410900Medicaid
FL683154OtherMEDICARE