Healthcare Provider Details

I. General information

NPI: 1336886548
Provider Name (Legal Business Name): BONIKE HOME HEALTH SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2022
Last Update Date: 06/06/2023
Certification Date: 06/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 SW 148TH AVE STE 110
MIRAMAR FL
33027-3237
US

IV. Provider business mailing address

3350 SW 148TH AVE STE 110
MIRAMAR FL
33027-3237
US

V. Phone/Fax

Practice location:
  • Phone: 954-478-6577
  • Fax: 954-544-2010
Mailing address:
  • Phone: 954-478-6577
  • Fax: 954-544-2010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: BEATRICE OLARINRE ONIFADE
Title or Position: OWNER
Credential:
Phone: 954-478-6577