Provider Demographics
NPI:1982649273
Name:TOTAL HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:TOTAL HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LAMONT
Authorized Official - Middle Name:H
Authorized Official - Last Name:THAO
Authorized Official - Suffix:
Authorized Official - Credentials:MAPA
Authorized Official - Phone:715-846-2955
Mailing Address - Street 1:R11027 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:RINGLE
Mailing Address - State:WI
Mailing Address - Zip Code:54471-9711
Mailing Address - Country:US
Mailing Address - Phone:715-846-2955
Mailing Address - Fax:715-355-9413
Practice Address - Street 1:R11027 RIVER RD
Practice Address - Street 2:
Practice Address - City:RINGLE
Practice Address - State:WI
Practice Address - Zip Code:54471-9711
Practice Address - Country:US
Practice Address - Phone:715-846-2955
Practice Address - Fax:715-355-9413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI43114000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43114000Medicaid