Provider Demographics
NPI:1396070256
Name:ROSENSTEEL, CHINYERE A
Entity type:Individual
Prefix:
First Name:CHINYERE
Middle Name:A
Last Name:ROSENSTEEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 TURNQUEST AVE,STAPLEDON GARDENS
Mailing Address - Street 2:P.O.BOX N10354
Mailing Address - City:BAHAMAS
Mailing Address - State:NASSAU
Mailing Address - Zip Code:1242
Mailing Address - Country:BS
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:503 LAKESIDE CIR
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33326-2136
Practice Address - Country:US
Practice Address - Phone:954-822-6302
Practice Address - Fax:954-358-6446
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-12
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL228483251E00000X, 253Z00000X
FL299995404251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL112751100Medicaid
FL685527098OtherMEDICAID- MEDWAIVER
FL685527096OtherMEDICAID MED-WAIVER