=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780210773
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STYX CONSULTING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/21/2020
-----------------------------------------------------
Last Update Date | 03/21/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 660 NW 119TH ST
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33168-2523
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-896-5752
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 660 NW 119TH ST
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33168-2523
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-896-5752
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | BRITTANY MORRISON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-896-5752
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------