Provider Demographics
NPI:1841458908
Name:DISTINCT HEALTH CARE SERVICES INCORPORATED
Entity type:Organization
Organization Name:DISTINCT HEALTH CARE SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
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:305-249-0321
Mailing Address - Street 1:111 NW 183RD ST
Mailing Address - Street 2:SUITE #424
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4537
Mailing Address - Country:US
Mailing Address - Phone:305-249-0321
Mailing Address - Fax:305-249-0341
Practice Address - Street 1:111 NW 183RD ST
Practice Address - Street 2:SUITE #424
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4537
Practice Address - Country:US
Practice Address - Phone:305-249-0321
Practice Address - Fax:305-249-0341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993149251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health