Provider Demographics
NPI:1053143867
Name:THAMAR HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:THAMAR HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THAMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MAURICE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP, PMHNP
Authorized Official - Phone:305-490-6797
Mailing Address - Street 1:99 NW 183RD ST STE 111B
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4518
Mailing Address - Country:US
Mailing Address - Phone:305-490-6797
Mailing Address - Fax:305-317-5284
Practice Address - Street 1:99 NW 183RD ST STE 111B
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-4518
Practice Address - Country:US
Practice Address - Phone:305-490-6797
Practice Address - Fax:305-317-5284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care