MEDICARE: KANISHA LACOYA JOSEPH NREMT

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		FL

General Provider Information

NPI Number	:	1952251407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KANISHA LACOYA JOSEPH NREMT

Provider Business Mailing Address
First Line	:	PO BOX 42
Second Line	:
City	:	BRANDYWINE
State	:	MD
Zip	:	20613-0042
Country	:	US
Telephone Number	:	888-553-9994
Fax Number	:	888-553-9994

Provider Business Practice Location Address
First Line	:	11611 CITY HALL PROMENADE
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-7599
Country	:	US
Telephone Number	:	888-553-9994
Fax Number	:	888-553-9994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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