TALLAHASSEE MEMORIAL HEALTHCARE INC – Home Health Agency, NPI 1174539522

TALLAHASSEE MEMORIAL HEALTHCARE INC is a healthcare provider. based in Tallahassee, Florida. specializing in Home Health Agency. The organization holds a License No. 20480096 (FL). The NPI Number for TALLAHASSEE MEMORIAL HEALTHCARE INC is 1174539522

Main info

Organization
Name
TALLAHASSEE MEMORIAL HEALTHCARE INC
NPI
1174539522
Phone
(850) 431-5380
Address
1300 MICCOSUKEE RD
Authorized Official
MR. MARK O'BRYANT CEO
Enumeration Date
31 July 2006
Last Update Date
20 March 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for TALLAHASSEE MEMORIAL HEALTHCARE INC

  • Tallahassee Memorial HealthCare, 1300, Miccosukee Road, Tallahassee, Leon County, Florida, 32308, United States

    TALLAHASSEE, FL 323085054

    Phone: (850) 431-5380

    Fax: (850) 431-5883

    Type: Mailing

  • 1619, Physicians Drive, Tallahassee, Leon County, Florida, 32308, United States

    TALLAHASSEE, FL 323084620

    Phone: (850) 431-6800

    Fax: (850) 431-6855

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050730000076OHome Health AgencyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32308)

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Reviews

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Frequently asked questions

What is the registry number for TALLAHASSEE MEMORIAL HEALTHCARE INC?
The registry entry for TALLAHASSEE MEMORIAL HEALTHCARE INC shows NPI 1174539522.
Is TALLAHASSEE MEMORIAL HEALTHCARE INC currently accepting referrals based on NPI status?
Registry metadata lists TALLAHASSEE MEMORIAL HEALTHCARE INC as active.
Which specialty label fits TALLAHASSEE MEMORIAL HEALTHCARE INC?
NPPES ties TALLAHASSEE MEMORIAL HEALTHCARE INC to Home Health Agency in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to TALLAHASSEE MEMORIAL HEALTHCARE INC?
The directory associates TALLAHASSEE MEMORIAL HEALTHCARE INC with Tallahassee, Florida. Check all listed addresses for suites or satellite offices.
Who maintains TALLAHASSEE MEMORIAL HEALTHCARE INC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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