Provider Demographics
NPI:1194410043
Name:TOTAL HOME HEALTH SERVICES, CORP
Entity type:Organization
Organization Name:TOTAL HOME HEALTH SERVICES, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YENEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUILLEN RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-749-6265
Mailing Address - Street 1:4025 TAMPA RD STE 1201
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-3214
Mailing Address - Country:US
Mailing Address - Phone:813-749-6265
Mailing Address - Fax:813-502-0254
Practice Address - Street 1:4025 TAMPA RD STE 1201
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-3214
Practice Address - Country:US
Practice Address - Phone:813-749-6265
Practice Address - Fax:813-502-0254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health