MEDICARE: NATIONAL NURSING POOL, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	20743096	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083692826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL NURSING POOL, INC

Provider Business Mailing Address
First Line	:	1620 W. OAKLAND PARK BLVD
Second Line	:	# 302
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311
Country	:	US
Telephone Number	:	954-485-0330
Fax Number	:	954-485-3454

Provider Business Practice Location Address
First Line	:	1620 W. OAKLAND PARK BLVD
Second Line	:	# 302
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311
Country	:	US
Telephone Number	:	954-485-0330
Fax Number	:	954-485-3454

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. YEHIA ABDELMONEM
Credential	:
Telephone Number	:	954-485-0330

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	06/26/2012

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