MY HOME TELEMED LLC
NPI 1548848906
Clinic/Center - Primary Care in Venice, FL

Active since March 29, 2021
1156 PIEDMONT RD, VENICE, FL 34293(609) 432-5417 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About My Home Telemed Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY HOME TELEMED LLC (NPI 1548848906) is a healthcare organization registered as a primary care in Venice, Florida and active in the NPI registry since March 2021. The organization maintains a secondary practice location in Egg Harbor Township and lists Denise S Trumbauer, Owner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548848906
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMY HOME TELEMED LLC
Location Address1156 PIEDMONT RDVenice, FL 34293-4843
Mailing Address106 Anita DrEgg Harbor Township, NJ 08234-7522 · (609) 432-5417 · Fax (609) 788-8111
Organization SubpartNo
Authorized OfficialDenise S TrumbauerOwner, Ceo · (609) 432-5417
Enumeration DateMarch 29, 2021
NPPES CertifiedMarch 29, 2021
✔ NPI 1548848906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1156 PIEDMONT RD, Venice, FL 34293

Secondary Practice Location 1

Location 1106 Anita DrEgg Harbor Township, NJ 08234-7522 · Phone (609) 432-5417 · Fax (609) 788-8111

Other Identifiers 1

Medicaid60062926NJ

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

My Home Telemed Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to My Home Telemed LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1477558351
1156 PIEDMONT RD
Venice, FL 34293
(609) 432-5417
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is My Home Telemed LLC's NPI number?

The NPI number for My Home Telemed LLC is 1548848906. It was assigned to this organization in the NPPES registry on March 29, 2021.

Where is My Home Telemed LLC located?

My Home Telemed LLC is located at 1156 Piedmont Rd, Venice, FL 34293. The listed phone number is (609) 432-5417.

What is My Home Telemed LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is My Home Telemed LLC enrolled in Medicare?

Yes. My Home Telemed LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through My Home Telemed LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to My Home Telemed LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for My Home Telemed LLC was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.