Tonya Alicia Johnson

Individual provider Active NPI Adult Care Home Facility · Reddick, FL

NPI 1790213627 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1790213627
Entity type
Individual (NPI type 1)
Primary specialty
Adult Care Home Facility 311ZA0620X
Practice address
15260 NW 29TH Ter
Reddick, FL 32686-3332
Phone
(352) 857-4223
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Tonyas Homecare From the Heart LLC Current Accepting new patients
Tonya Johnson Adult Care Home Past
since Jul 24, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Yes

Addresses

Primary practice location

15260 NW 29TH Ter
Reddick, FL 32686-3332

Mailing address

15260 NW 29TH Ter
Reddick, FL 32686-3332
Phone (352) 857-4223

Other providers in Reddick, FL

All providers in Reddick, FL · Adult Care Home Facility in Florida

Sources for this page

Verify at the official NPI Registry.