Tambolina Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

30211580 Issued in FL

Legal business name

TAMBOLINA SERVICES, INC

Doing business as

Tambolina Services, Inc

Practice address

1627 Rogero Rd Ste a&B
Jacksonville, FL 32211-4866

Phone

(904) 629-9922

Fax

(904) 240-0309

NPI assigned

Jan 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Tamba Manya Momorie

Title

Director

Phone

(904) 629-9922

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• TAMBOLINA SERVICES, INC Doing business as
• TAMBOLINA EDUCATIONAL SERVICES & COUNSELING CENTER Former legal business name

Locations

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1659794014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 ROGERO RD STE A&B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322114866",
            "telephone_number": "904-629-9922",
            "fax_number": "904-240-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 ROGERO RD STE A&B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322114866",
            "telephone_number": "904-629-9922",
            "fax_number": "904-240-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMBOLINA SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "MOMORIE",
        "authorized_official_first_name": "TAMBA",
        "authorized_official_middle_name": "MANYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-629-9922",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691759396",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAMBOLINA SERVICES, INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TAMBOLINA EDUCATIONAL SERVICES & COUNSELING CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christine Alexis Tamayo, MD
• Jesus Tamayo, COTA
• Tambolina Adult Day Care (Tambolina Day Center)
• Tambolina Adult Day Care Center (Tambolina Adult Day Care Center, Inc)
• Tambolina Services Community Resident Home, Inc
• Lynne Tamplin, PT
• Allura Kaylen Tan
• Benjamin Tian-Hai Tan, DO
• Danica Tan
• Darlene Tan, LMT

• Home Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.