# TEENEX HOME CARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285406280
- **Authorized official:** MRS. AUGUSTINAH BAWA SHITGURUM (ADMINISTRATION)
- **Authorized official phone:** (336) 307-1627

## Contact information

- **Practice address:** 25252 SW 115TH AVE, HOMESTEAD, FL 33032-3115
- **Practice address phone:** (336) 307-1627
- **Mailing address:** 25252 SW 115TH AVE, HOMESTEAD, FL 33032-3115
- **Mailing address phone:** (336) 307-1627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 3747A0650X | Attendant Care Provider | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | — | — |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 10/24/2023
- **Last updated:** 11/06/2023