MEDICARE: D&N HOME HEALTH SERVICES, 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	HH19964653	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

General Provider Information

NPI Number	:	1619921699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D&N HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	1140 W 50TH ST
Second Line	:	STE: 305
City	:	HIALEAH
State	:	FL
Zip	:	33012-3440
Country	:	US
Telephone Number	:	305-827-6965
Fax Number	:	305-827-6992

Provider Business Practice Location Address
First Line	:	1140 W 50TH ST
Second Line	:	STE: 305
City	:	HIALEAH
State	:	FL
Zip	:	33012-3440
Country	:	US
Telephone Number	:	305-827-6965
Fax Number	:	305-827-6992

Authorized Official
Title or Position	:	CEO
Name	:	MR. DAVID MENA
Credential	:
Telephone Number	:	305-827-6965

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	10/01/2008

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