Provider Demographics
NPI:1750554200
Name:DEDICATED CAREGIVERS, LLC
Entity type:Organization
Organization Name:DEDICATED CAREGIVERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MIRENA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONZON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-358-0992
Mailing Address - Street 1:1961 NW 150TH AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-2876
Mailing Address - Country:US
Mailing Address - Phone:954-358-0992
Mailing Address - Fax:
Practice Address - Street 1:1961 NW 150TH AVE STE 103
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-2876
Practice Address - Country:US
Practice Address - Phone:954-358-0992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health