Provider Demographics
NPI:1912758590
Name:TINASH HOMECARE SERVICES LLC
Entity Type:Organization
Organization Name:TINASH HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PHANE
Authorized Official - Middle Name:MORAA
Authorized Official - Last Name:MOGAKA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:973-452-0185
Mailing Address - Street 1:7 BIRCH RD
Mailing Address - Street 2:
Mailing Address - City:BYRAM TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07821-3963
Mailing Address - Country:US
Mailing Address - Phone:973-452-0185
Mailing Address - Fax:
Practice Address - Street 1:7 BIRCH RD
Practice Address - Street 2:
Practice Address - City:BYRAM TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07821-3963
Practice Address - Country:US
Practice Address - Phone:973-452-0185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care