Provider Demographics
NPI:1073563235
Name:MONEF HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:MONEF HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NSE
Authorized Official - Middle Name:F
Authorized Official - Last Name:ESSIET
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-710-7375
Mailing Address - Street 1:300 NW 183RD STREET
Mailing Address - Street 2:UNIT 1
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169
Mailing Address - Country:US
Mailing Address - Phone:305-999-0520
Mailing Address - Fax:305-999-0521
Practice Address - Street 1:300 NW 183RD STREET
Practice Address - Street 2:UNIT 1
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169
Practice Address - Country:US
Practice Address - Phone:305-999-0520
Practice Address - Fax:305-999-0521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL163WH0200X
FLHHA21840096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650632198OtherFAMILY SUPPORT LIVING
FL650632196OtherMEDICAID WAIVER: DEVELOPM
FL650632100Medicaid
FL676632300OtherPROJECT AIDS NETWORK
FL650632102OtherMEDICAID WAIVER
FL650632179OtherBRAIN & SPINAL CORD
FL650632100Medicaid