Organization
AT TALITHA CUMI HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASHIRA M RIVAS (PRESIDENT)
(786) 454-7021
Entity
Organization
Contact information
Practice address
14499 N DALE MABRY HWY STE 149S, TAMPA, FL 33618-2071
(786) 452-1226
(786) 452-1227
Mailing address
1840 W 49TH ST STE 224, HIALEAH, FL 33012-2949
(786) 452-1226
(786) 452-1227
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
232879
FL
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002806200
—
FL
05
—
002806205
—
FL
Enumeration date
01/28/2014
Last updated
07/14/2023
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