Tremia Montgomery
Individual provider Active NPI In Home Supportive Care Agency · Graceville, FL
NPI 1205364445 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1205364445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 5873 Browntown Rd
Graceville, FL 32440-4111 - Phone
- (850) 326-3861
- NPI assigned
- Jun 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
5873 Browntown Rd
Graceville, FL 32440-4111
Mailing address
5873 Browntown Rd
Graceville, FL 32440-4111
Phone (850) 326-3861
Other providers in Graceville, FL
- Kristian Joy Vance Jones
- Galina Kats-Kagan
- Payton Brooke Kressman
- LP Graceville LLC
- Amber T McDowell
- Terry Emmitt Nichols
- William Barry Nolin
- Northwest Florida Healthcare, Inc.
- Leo B Ramin
- Karen Clark Ramsey
All providers in Graceville, FL · In Home Supportive Care Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.