Provider Demographics
NPI:1336157957
Name:TOTAL HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:TOTAL HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LLANES
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:786-502-8188
Mailing Address - Street 1:2332 LUDLAM RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1846
Mailing Address - Country:US
Mailing Address - Phone:786-502-8188
Mailing Address - Fax:786-502-8027
Practice Address - Street 1:3127 W HALLANDALE BEACH BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:HALLANDALE
Practice Address - State:FL
Practice Address - Zip Code:33009-5150
Practice Address - Country:US
Practice Address - Phone:954-961-1698
Practice Address - Fax:954-961-1699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2019-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299992465251E00000X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL30212005OtherNURSE REGISTRY