Provider Demographics
NPI:1528566841
Name:SIMS, LAYFEETA MONIQUE
Entity Type:Individual
Prefix:
First Name:LAYFEETA
Middle Name:MONIQUE
Last Name:SIMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 W 16TH AVE APT J128
Mailing Address - Street 2:
Mailing Address - City:HAVANA
Mailing Address - State:FL
Mailing Address - Zip Code:32333-2246
Mailing Address - Country:US
Mailing Address - Phone:850-363-1481
Mailing Address - Fax:
Practice Address - Street 1:110 W 16TH AVE APT J128
Practice Address - Street 2:
Practice Address - City:HAVANA
Practice Address - State:FL
Practice Address - Zip Code:32333-2246
Practice Address - Country:US
Practice Address - Phone:850-363-1481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-01
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL158169376K00000X
374U00000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide