Provider Demographics
NPI:1770595647
Name:TEHC, LLC
Entity type:Organization
Organization Name:TEHC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 1:8375 DIX ELLIS TRL STE 407
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-8226
Practice Address - Country:US
Practice Address - Phone:904-722-1112
Practice Address - Fax:904-722-1114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA21887096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650867700Medicaid
FL650867700Medicaid