Provider Demographics
NPI:1942605159
Name:DEDICATED HOME HEALTH
Entity Type:Organization
Organization Name:DEDICATED HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NIRMEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-536-2625
Mailing Address - Street 1:5055 CHARDONNAY DRIVE
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067
Mailing Address - Country:US
Mailing Address - Phone:954-536-2625
Mailing Address - Fax:
Practice Address - Street 1:13244 WEST WARREN AVE
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126
Practice Address - Country:US
Practice Address - Phone:954-536-2625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health