Provider Demographics
NPI:1063718864
Name:HOWARD, JOHN H (CNA)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:H
Last Name:HOWARD
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 MILWAUKEE AVE
Mailing Address - Street 2:APT 301
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-8025
Mailing Address - Country:US
Mailing Address - Phone:727-831-9404
Mailing Address - Fax:727-470-9360
Practice Address - Street 1:261 MILWAUKEE AVE
Practice Address - Street 2:APT 301
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-8025
Practice Address - Country:US
Practice Address - Phone:727-831-9404
Practice Address - Fax:727-470-9360
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL188926372500000X, 372600000X, 373H00000X, 374U00000X, 376J00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL188926OtherCNA