1891971016 NPI number — DAILY HOME HEALTH INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891971016 NPI number — DAILY HOME HEALTH INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DAILY HOME HEALTH INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891971016
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
633 NE 167 STREET
Provider Second Line Business Mailing Address:
SUITE 616
Provider Business Mailing Address City Name:
NORTH MIAMI BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33162-2444
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-652-8225
Provider Business Mailing Address Fax Number:
305-652-8234

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
633 NE 167 STREET
Provider Second Line Business Practice Location Address:
SUITE 616
Provider Business Practice Location Address City Name:
NORTH MIAMI BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33162-2444
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-652-8225
Provider Business Practice Location Address Fax Number:
305-652-8234
Provider Enumeration Date:
01/17/2008

Additional Information

Authorized Official

Authorized Official Last Name:
AJAYI
Authorized Official First Name:
FEHINTOLA
Authorized Official Middle Name:
O
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
305-652-8225

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 113782600 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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