NPIMap

Organization Active NPI

Tehc, LLC

  • Home Health Agency
  • Rockledge, FL
National Provider Identifier
1629080593
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA21404096 Issued in FL
Legal business name
TEHC, LLC
Practice address
182 Barton Blvd Ste B
Rockledge, FL 32955-2704
Phone
(321) 453-5535
Fax
(321) 456-5934
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Vinh Bennett
Title
Director of Reimbursement
Phone
(305) 715-9560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA21404096 FL Primary

Addresses

Primary practice location

182 Barton Blvd Ste B
Rockledge, FL 32955-2704

Mailing address

8669 NW 36TH St Ste 355
Doral, FL 33166-6720
Phone (305) 715-9560

Other identifiers 1

IdentifierTypeStateIssuer
650849900MedicaidFL

Other names 1

  • TEHC Healthcare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Kmail Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060323000633 FL Part A Provider - Home Health Agency 2668381468 Practice locations: Rockledge, FL

Home health agency certification: CCN 107718

Legal name
TEHC, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 8, 2002
Last certification
Nov 16, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 9, 1999 in GA
Enrollment address
182 Barton Blvd
Ste B
Rockledge, FL 32955-2704
HHA Branch

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Tehc LLCCCN 107718
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 8, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Tehc Healthcare4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8669 NW 36th St
Ste 335
Doral, FL 33166
Phone (305) 715-9560

182 Barton Blvd
Ste B
Rockledge, FL 32955
Phone (321) 453-5535

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mark Nord Individual 5% Or Greater Direct Ownership InterestPresident Jun 1, 1999 100%
George Eastman Individual Operational/Managerial ControlAdministrator Jun 16, 2022

Practitioners & affiliated clinicians

Affiliated clinicians 13

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1629080593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8669 NW 36TH ST STE 355",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666720",
            "telephone_number": "305-715-9560",
            "fax_number": "305-597-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 BARTON BLVD STE B",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552704",
            "telephone_number": "321-453-5535",
            "fax_number": "321-456-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "VINH",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "305-715-9560"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA21404096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650849900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kmail",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "182 Barton Blvd Ste B",
            "city": "Rockledge",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329552704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TEHC Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TEHC Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.