MEDICARE: SPECIALIZED NURSING SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	21087095	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063504520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIALIZED NURSING SERVICES INC

Provider Business Mailing Address
First Line	:	17011 NE 6TH AVE
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-2408
Country	:	US
Telephone Number	:	305-652-2799
Fax Number	:	786-288-5824

Provider Business Practice Location Address
First Line	:	17011 NE 6TH AVE
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-2408
Country	:	US
Telephone Number	:	305-652-2799
Fax Number	:	786-288-5824

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	IOVANNA LOPEZ IX
Credential	:
Telephone Number	:	305-652-2799

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	02/27/2024

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