Healthcare Provider Details

I. General information

NPI: 1073563235
Provider Name (Legal Business Name): MONEF HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 05/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 NW 183RD STREET UNIT 1
MIAMI GARDENS FL
33169
US

IV. Provider business mailing address

300 NW 183RD STREET UNIT 1
MIAMI GARDENS FL
33169
US

V. Phone/Fax

Practice location:
  • Phone: 305-999-0520
  • Fax: 305-999-0521
Mailing address:
  • Phone: 305-999-0520
  • Fax: 305-999-0521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA21840096
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateFL

VIII. Authorized Official

Name: MRS. NSE F. ESSIET
Title or Position: PRESIDENT
Credential: RN
Phone: 305-710-7375