Provider Demographics
NPI:1982993820
Name:TANIA HEALTH INC
Entity Type:Organization
Organization Name:TANIA HEALTH INC
Other - Org Name:ESPERANZA INC,
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OSVALDO
Authorized Official - Middle Name:E
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-298-5692
Mailing Address - Street 1:4532 W. KNOLLWOOD ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-3636
Mailing Address - Country:US
Mailing Address - Phone:813-298-5692
Mailing Address - Fax:813-405-1749
Practice Address - Street 1:4532 W KNOLLWOOD ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3636
Practice Address - Country:US
Practice Address - Phone:813-298-5692
Practice Address - Fax:813-405-1749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL137798251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL692729701Medicaid
FL002466500Medicaid
FL692729798Medicaid