1992001192 NPI number — JOSY ENTERPRISES II 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 1992001192 NPI number — JOSY ENTERPRISES II INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOSY ENTERPRISES II 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:
SENIOR HEART HOME HEALTH AGENCY
Provider Other Organization Name Type Code:
3
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:
1992001192
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/01/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4400 N FEDERAL HWY STE 32
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOCA RATON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33431-3423
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-961-4809
Provider Business Mailing Address Fax Number:
561-961-4821

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4400 N FEDERAL HWY
Provider Second Line Business Practice Location Address:
SUITE 52
Provider Business Practice Location Address City Name:
BOCA RATON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33431-5187
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-961-4809
Provider Business Practice Location Address Fax Number:
561-961-4821
Provider Enumeration Date:
02/04/2011

Additional Information

Authorized Official

Authorized Official Last Name:
LINDOR
Authorized Official First Name:
VALEX
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
561-961-4809

Provider Taxonomy Codes

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

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





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