Individual
VENEL SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
257 S CYPRESS RD APT 418, POMPANO BEACH, FL 33060-7032
(561) 305-1567
Mailing address
257 S CYPRESS RD APT 418, POMPANO BEACH, FL 33060-7032
(561) 305-1567
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
CNA305408
FL
372500000X
Chore Provider
CNA305408
FL
372600000X
Adult Companion
CNA305408
FL
374700000X
Technician
CNA305408
FL
3747A0650X
Attendant Care Provider
CNA305408
FL
3747P1801X
Personal Care Attendant
CNA305408
FL
374U00000X
Home Health Aide
CNA305408
FL
376J00000X
Homemaker
CNA305408
FL
376K00000X
Nurse's Aide
CNA305408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106082900
—
FL
01
—
AHCA235799
FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION
FL
01
—
CNA305408
FLORIDA BOARD OF NURSING
FL
Enumeration date
06/07/2020
Last updated
06/13/2020
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