MAHANAIM HOME CARE (NPI# 1508465725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508465725 |
Entity Type | Organization |
Organization Name | MAHANAIM HOME CARE |
Practice Address |
2750 N 29th Ave Ste 218b Hollywood FL 33020-1521 |
Mailing Address |
625 Ne 193rd Ter Miami FL 33179-3982 |
Practice Telephone | 9542700563 |
Mailing Telephone | 9542700563 |
Enumeration Date | 2020-10-19 |
Last Update Date | 2020-10-19 |
Authorized Official Name | MS. MYRIAM FRAZIL (PRESIDENT/CEO) |
Authorized Official Telephone | 9542700562 |
Authorized Official Credential | R.N. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
Nursing Service Providers |
Street Address |
2750 N 29TH AVE STE 218B |
City | HOLLYWOOD |
State | FL |
Zip Code | 33020-1521 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
Find all providers in zip 33020 |
Taxonomy Code | 163WH0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Home Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497315121 | Wilda B Beauvais | Registered Nurse | 6453 Pembroke Rd, Hollywood, FL 33023-2137 | 2019-06-14 |
1194029447 | Michelle M Senko | Registered Nurse | 2455 Hollywood Blvd, Suite 215, Hollywood, FL 33020-6605 | 2010-12-30 |
1922308600 | Grace Elizabeth Sainvil | Registered Nurse | 456 North 19th Avenue, Hollywood, FL 33020-3302 | 2010-10-27 |
1932142403 | Martha `cecilia Small | Registered Nurse | 7151 Harding St, Hollywood, FL 33024-3827 | 2006-06-13 |
1316546427 | Esmewalda D Louis | Registered Nurse | 6453 Pembroke Rd, Hollywood, FL 33023-2137 | 2020-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821697350 | Karen Y Barahona | Registered Nurse | 3059 Barry Rd, North Port, FL 34286-9006 | 2020-10-26 |
1942809066 | Welcome Group Home LLC | Registered Nurse | 8616 White Cay, West Palm Beach, FL 33411-5545 | 2020-10-20 |
1033717236 | Tansha Fuller | Registered Nurse | 8606 N 10th St, Tampa, FL 33604-1712 | 2020-10-12 |
1902419187 | Superior Choice Physicians Inc | Registered Nurse | 600 Bypass Dr Ste 115, Clearwater, FL 33764-5030 | 2020-08-26 |
1457960809 | Trumed Home Health Services LLC | Registered Nurse | 1064 W Highway 50 Ste 210, Clermont, FL 34711-2835 | 2020-07-30 |
1285243162 | Robine Duprena | Registered Nurse | 2933 W Cypress Creek Rd Ste 201e, Ft Lauderdale, FL 33309-1760 | 2020-07-27 |
1598373250 | Naomi David Julmus | Registered Nurse | 26 Sw 21st Pl, Cape Coral, FL 33991-1346 | 2020-07-20 |
1164030235 | Grandpa Home Health, LLC | Registered Nurse | 3044 S Military Trl Ste J, Lake Worth, FL 33463-2112 | 2020-07-15 |
1457979494 | Ilianna Polatos-quintero | Registered Nurse | 17902 Nw 81st Ct, Hialeah, FL 33015-2847 | 2020-07-07 |
1568089704 | Priscilla D Davis | Registered Nurse | 100 Sparrow Dr Apt 9, Royal Palm Beach, FL 33411-1616 | 2020-07-04 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.