Individual ProviderTakiyah J HaynesRegistered NurseNursing Service ProvidersPractice Address3 N Aspen Rd, Middletown, NY 10940-6807(084) 579-8306(845) 798-3066PECOS EnrollmentBased on the most recent information from CMS, provider Takiyah J Haynes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1467937458Provider TypeIndividualFull NameHaynes, Takiyah JGenderFemaleSole ProprietorNoEnumeration Date9/26/2018Last Updated10/9/2024Contact InformationPractice LocationPractice Address3 N Aspen Rd, Middletown, NY 10940-6807Phone(084) 579-8306FaxUnlisted FaxMailing LocationMailing Address707 E Main St, Middletown, NY 10940-2650Phone(845) 798-3066FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense846869New York