Healthcare Provider Details

I. General information

NPI: 1720390024
Provider Name (Legal Business Name): DISTINCT HOME HEALTH SERVICES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2010
Last Update Date: 04/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9050 PINES BLVD SUITE 362
PEMBROKE PINES FL
33024-6455
US

IV. Provider business mailing address

9050 PINES BLVD SUITE 362
PEMBROKE PINES FL
33024-6455
US

V. Phone/Fax

Practice location:
  • Phone: 954-499-4005
  • Fax: 954-499-4211
Mailing address:
  • Phone: 954-499-4005
  • Fax: 954-499-4211

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 Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVE OLAYEMI AKINBEHINJE
Title or Position: PRESIDENT
Credential: RN
Phone: 954-298-6031