Healthcare Provider Details

I. General information

NPI: 1467377143
Provider Name (Legal Business Name): YOLANDA MICHELLE LEWIS CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10024 NW 36TH ST
CORAL SPRINGS FL
33065-2820
US

IV. Provider business mailing address

10024 NW 36TH ST
CORAL SPRINGS FL
33065-2820
US

V. Phone/Fax

Practice location:
  • Phone: 954-822-8809
  • Fax:
Mailing address:
  • Phone: 954-822-8809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberCNA101776
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: