Amonise Mondestin

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6907014 Issued in FL

Practice address

4600 Cypress Knee Dr
Boca Raton, FL 33487-2116

Phone

(561) 853-5260

NPI assigned

Aug 7, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dignitas Care

  • Adult Care Home Facility
  • Boca Raton, FL
  • NPI 1073133369
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1053921619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 CYPRESS KNEE DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872116",
            "telephone_number": "561-853-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 CYPRESS KNEE DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872116",
            "telephone_number": "561-853-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDESTIN",
        "first_name": "AMONISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "FL",
            "license": "6907014",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6907014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106070200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT FAMILY CARE HOME",
            "identifier": "6907014",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFY NURSING ASSISTANT",
            "identifier": "255059",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mommymd PLLC
• Anne Carballo Mon
• Monarch Psychological Services, LLC
• Jerline F Moncoeur
• Robyn Mayko Moncrief, MD
• Monika la Nuez, LCSW, LLC
• Joseph Monplaisir, PHARM D
• Jennifer Catherine Monroe, MS
• Leslie David Monroe, M.D.
• Marcela Monroy, PT

• Adult Care Home Facility in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.