Provider Demographics
NPI:1205637246
Name:TALOFA HOME LLC
Entity type:Organization
Organization Name:TALOFA HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAERE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-386-8804
Mailing Address - Street 1:11563 W TONTO ST
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85323-9132
Mailing Address - Country:US
Mailing Address - Phone:808-386-8804
Mailing Address - Fax:
Practice Address - Street 1:11563 W TONTO ST
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85323-9132
Practice Address - Country:US
Practice Address - Phone:808-386-8804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)