National Nursing Pool, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

20743096 Issued in FL

Legal business name

NATIONAL NURSING POOL, INC

Practice address

1620 W. Oakland Park Blvd
# 302
Oakland Park, FL 33311

Phone

(954) 485-0330

Fax

(954) 485-3454

NPI assigned

Jan 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Yehia Abdelmonem

Title

President

Phone

(954) 485-0330

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 687044

Legal name

NATIONAL NURSING POOL INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 8, 2020

Last certification

Jan 4, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 3, 2009 in FL

Enrollment address

1620 W Oakland Park Blvd
Ste 302
Oakland Park, FL 33311-1506

Listed as

National Nursing Pool IncCCN 687044

Ownership

Proprietary

Certified

Jan 8, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Speech pathology

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1083692826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W. OAKLAND PARK BLVD",
            "address_2": "# 302",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "33311",
            "telephone_number": "954-485-0330",
            "fax_number": "954-485-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 W. OAKLAND PARK BLVD",
            "address_2": "# 302",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "33311",
            "telephone_number": "954-485-0330",
            "fax_number": "954-485-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL NURSING POOL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "ABDELMONEM",
        "authorized_official_first_name": "YEHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-485-0330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "20743096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000115000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651424300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.