Provider Demographics
NPI:1952562431
Name:TALMAIA HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:TALMAIA HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VEANDA
Authorized Official - Middle Name:KATRINA
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:786-290-1036
Mailing Address - Street 1:5203 SW 18TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3156
Mailing Address - Country:US
Mailing Address - Phone:786-290-1036
Mailing Address - Fax:
Practice Address - Street 1:5203 SW 18TH ST
Practice Address - Street 2:
Practice Address - City:WEST PARK
Practice Address - State:FL
Practice Address - Zip Code:33023-3156
Practice Address - Country:US
Practice Address - Phone:786-290-1036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5152114251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health