Healthcare Provider Details
I. General information
NPI: 1891564381
Provider Name (Legal Business Name): HYPE HOME HEALTH AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/26/2023
Last Update Date: 12/26/2023
Certification Date: 12/26/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
199 GIRALDA AVE STE PH
CORAL GABLES FL
33134-5208
US
IV. Provider business mailing address
199 GIRALDA AVE STE PH
CORAL GABLES FL
33134-5208
US
V. Phone/Fax
- Phone: 305-833-0053
- Fax:
- Phone: 305-833-0053
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YULAK
LANDA
Title or Position: ADMINISTRATOR
Credential: RN; MSN
Phone: 305-833-0053