Theresa Home Care, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

THERESA HOME CARE, INC.

Practice address

485 Maple Way
Safety Harbor, FL 34695-2959

Phone

(727) 492-8371

NPI assigned

Mar 13, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theresa Gonzales

Title

Owner

Phone

(727) 492-8371

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1124587753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346950326",
            "telephone_number": "727-492-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 MAPLE WAY",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346952959",
            "telephone_number": "727-492-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-492-8371"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shelby D Thompson
• Daniel Lee Thorngren III, M.D.
• Tiffany L. Werhner, Ms, LMHC, PA
• Jackson E. Tillquist, ARNP

• Assisted Living Facility (Mental Illness) in Safety Harbor, FL
• Providers in Safety Harbor, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.