Healthcare Provider Details

I. General information

NPI: 1699921189
Provider Name (Legal Business Name): RUTH SINGH ADMINISTRATOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2008
Last Update Date: 08/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 NE 163RD ST
NORTH MIAMI BEACH FL
33162
US

IV. Provider business mailing address

2020 NE 163RD ST
NORTH MIAMI BEACH FL
33162-4927
US

V. Phone/Fax

Practice location:
  • Phone: 305-935-6900
  • Fax: 305-949-9029
Mailing address:
  • Phone: 305-935-6900
  • Fax: 305-949-9029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: