Healthcare Provider Details

I. General information

NPI: 1992012538
Provider Name (Legal Business Name): CONSUMER SUPPORT NETWORK,(CONSUNET) LTD. CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2010
Last Update Date: 02/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 NE 125TH ST STE 313
NORTH MIAMI FL
33161-5015
US

IV. Provider business mailing address

1175 NE 125TH ST STE 313
NORTH MIAMI FL
33161-5015
US

V. Phone/Fax

Practice location:
  • Phone: 305-981-0300
  • Fax: 305-981-0500
Mailing address:
  • Phone: 305-981-0300
  • Fax: 305-981-0500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number678751796
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number678751796
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARCELLE JEAN FRANCOIS
Title or Position: DIRECTOR
Credential:
Phone: 305-981-0300