Provider Demographics
NPI:1992012538
Name:CONSUMER SUPPORT NETWORK,(CONSUNET) LTD. CO.
Entity Type:Organization
Organization Name:CONSUMER SUPPORT NETWORK,(CONSUNET) LTD. CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN FRANCOIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-981-0300
Mailing Address - Street 1:1175 NE 125TH ST
Mailing Address - Street 2:STE 313
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5015
Mailing Address - Country:US
Mailing Address - Phone:305-981-0300
Mailing Address - Fax:305-981-0500
Practice Address - Street 1:1175 NE 125TH ST
Practice Address - Street 2:STE 313
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5015
Practice Address - Country:US
Practice Address - Phone:305-981-0300
Practice Address - Fax:305-981-0500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-02
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 385H00000X
FL678751796251E00000X, 251X00000X
FL253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251X00000XAgenciesSupports Brokerage
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL678751796Medicaid
FL687468198Medicaid
FL687468198Medicaid