Provider Demographics
NPI:1770932451
Name:GODSEND HEALTH SERVICES INC.
Entity type:Organization
Organization Name:GODSEND HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PURA
Authorized Official - Middle Name:
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-512-3796
Mailing Address - Street 1:11117 W OKEECHOBEE RD
Mailing Address - Street 2:SUITE 127
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4212
Mailing Address - Country:US
Mailing Address - Phone:786-512-3796
Mailing Address - Fax:786-502-3008
Practice Address - Street 1:11117 W OKEECHOBEE RD
Practice Address - Street 2:SUITE 127
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-4212
Practice Address - Country:US
Practice Address - Phone:786-512-3796
Practice Address - Fax:786-502-3008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL684928801Medicaid
684928896OtherMEDICAID WAIVER