Healthcare Provider Details

I. General information

NPI: 1912718222
Provider Name (Legal Business Name): YAHWEH'S LOVING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3046 DEL PRADO BLVD S # 1B-3
CAPE CORAL FL
33904-7221
US

IV. Provider business mailing address

3046 DEL PRADO BLVD S STE 1B
CAPE CORAL FL
33904-7232
US

V. Phone/Fax

Practice location:
  • Phone: 321-746-0498
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MODELINE PARAISY
Title or Position: CEO
Credential:
Phone: 239-456-2828