Provider Demographics
NPI:1720390024
Name:DISTINCT HOME HEALTH SERVICES INCORPORATED
Entity Type:Organization
Organization Name:DISTINCT HOME HEALTH SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
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:RN
Authorized Official - Phone:954-298-6031
Mailing Address - Street 1:9050 PINES BLVD
Mailing Address - Street 2:SUITE 362
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6455
Mailing Address - Country:US
Mailing Address - Phone:954-499-4005
Mailing Address - Fax:954-499-4211
Practice Address - Street 1:9050 PINES BLVD
Practice Address - Street 2:SUITE 362
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6455
Practice Address - Country:US
Practice Address - Phone:954-499-4005
Practice Address - Fax:954-499-4211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-02
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care