MEDICARE: T & Y SOCIAL CARE SERVICES CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103K00000X	Behavior Analyst
2	251S00000X	Community/Behavioral Health Agency
3	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1508525932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T & Y SOCIAL CARE SERVICES CORP

Provider Business Mailing Address
First Line	:	15260 SW 280TH ST STE 204
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33032-8187
Country	:	US
Telephone Number	:	786-205-4515
Fax Number	:	786-200-5780

Provider Business Practice Location Address
First Line	:	15260 SW 280TH ST STE 204
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33032-8187
Country	:	US
Telephone Number	:	786-349-4464
Fax Number	:	786-504-2615

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KLEYDSON NEVES DA SILVA
Credential	:	RN
Telephone Number	:	786-205-4515

Provider Enumeration Date	:	12/13/2021
Last Update Date	:	03/29/2023

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Directions to “T & Y SOCIAL CARE SERVICES CORP ” Practice Location

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