Organization
FOUNDATIONS TOTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TE'AIRA N MALLORY (OWNER)
(937) 422-7330
Entity
Organization
Contact information
Practice address
12 W WENGER RD STE S, ENGLEWOOD, OH 45322-2755
(937) 540-0202
(937) 998-1036
Mailing address
12 W WENGER RD STE S, ENGLEWOOD, OH 45322-2755
(937) 540-0202
(937) 998-1036
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
347C00000X
Private Vehicle
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/17/2025
Last updated
12/12/2025
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