Teenex Home Care Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

TEENEX HOME CARE SERVICES, LLC

Practice address

25252 SW 115TH Ave
Homestead, FL 33032-3115

Phone

(336) 307-1627

NPI assigned

Oct 24, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Augustinah Bawa Shitgurum

Title

Administration

Phone

(336) 307-1627

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1285406280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25252 SW 115TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323115",
            "telephone_number": "336-307-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25252 SW 115TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323115",
            "telephone_number": "336-307-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEENEX HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "BAWA SHITGURUM",
        "authorized_official_first_name": "AUGUSTINAH",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "336-307-1627",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teonni Dunte Stephon Tate
• Yamila Tatte Herrera
• Melissa Tavera
• Mavalee Taylor
• Robert Sterling Taylor, ARNP
• Chandra Teerie
• Yasmari Inez Tejada Rodriguez
• Jacqueline D Tejada, BS
• Gabriel Tejeda Suris
• Carolina Tejeda

• In Home Supportive Care Agency in Homestead, FL
• Providers in Homestead, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.