Provider Demographics
NPI:1659575835
Name:DISTINCT HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:DISTINCT HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:OLAYEMI
Authorized Official - Last Name:AKINBEHINJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-298-6031
Mailing Address - Street 1:1364 NW 159TH AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-1628
Mailing Address - Country:US
Mailing Address - Phone:954-298-6031
Mailing Address - Fax:954-433-7866
Practice Address - Street 1:1364 NW 159TH AVE
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1628
Practice Address - Country:US
Practice Address - Phone:954-298-6031
Practice Address - Fax:954-433-7866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9260275251E00000X, 251F00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251F00000XAgenciesHome Infusion
Not Answered251J00000XAgenciesNursing Care