Boothe, Leonie Evadney

Boothe, Leonie Evadney is an sole proprietor health care provider with primary practice located at 80 Ne 166 Street , Miami FL 33162. She recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing & Custodial Care Facilities / Assisted Living Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is her primary health care specialty. Boothe, Leonie Evadney can be contacted via phone (305) 947-1439.

Contact Information

Primary practice address
80 Ne 166 Street Miami FL 33162
Phone: (305) 947-1439
Fax: (305) 947-1439
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X CNA82954 Florida
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X A9211 Florida

Profile Details

NPI number 1366796468
LBN Legal business name Boothe, Leonie Evadney
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2012
Last updated Sep 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366796468 NPPES
Florida MEDICAID 141080600

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