Provider Demographics
NPI:1861646861
Name:MEGA NURSING SERVICES INC
Entity Type:Organization
Organization Name:MEGA NURSING SERVICES INC
Other - Org Name:MEGA NURSING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LYCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-840-6566
Mailing Address - Street 1:4910 DYER BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-1009
Mailing Address - Country:US
Mailing Address - Phone:561-840-6566
Mailing Address - Fax:561-840-7620
Practice Address - Street 1:4910 DYER BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-1009
Practice Address - Country:US
Practice Address - Phone:561-840-6566
Practice Address - Fax:561-840-7620
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEGA NURSING SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-05
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20710095251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL670696704Medicaid