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Leonie Evadney Boothe, CNA
Assisted Living Facility in Miami, Florida
NPI 1366796468

Leonie Evadney Boothe is an Assisted Living Facility based in Miami, FL. Leonie Evadney Boothe practices in Miami, FL and has the professional credentials of CNA. The NPI Number for Leonie Evadney Boothe is 1366796468 and holds a License No. CNA82954 (Florida).

The current practice location address for Leonie Evadney Boothe is 80 Ne 166 Street, Miami, FL and can be reached out via phone at 305-947-1439 and via fax at 305-947-1439.

Location: 80 Ne 166 Street, Miami, FL, 33161
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Provider Profile Details
NPI Number
1366796468
Provider Name
Leonie Evadney Boothe
Credential
CNA
Provider Entity Type
Individual
Gender
Female
Address
80 Ne 166 Street, Miami, FL, 33161
Phone Number
305-947-1439
Fax Number
305-947-1439
Provider Enumeration Date
10/29/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
141080600 05 FL
institution
Provider Business Practice Location Address Details
Address
80 Ne 166 Street
City
State
Zip
33162
Phone Number
305-947-1439
Fax Number
305-947-1439
person
Provider Business Mailing Address Details
Address
80 Ne 166 Street
City
State
Zip
33162
Phone Number
305-947-1439
Fax Number
305-947-1439
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
A9211 (Florida)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
CNA82954 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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