Healthcare Provider Details
I. General information
NPI: 1821774555
Provider Name (Legal Business Name): BELIEVE 2 ACHIEVE IT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/27/2023
Last Update Date: 07/18/2024
Certification Date: 07/18/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2525 EMBASSY DR STE 15A
HOLLYWOOD FL
33026-4573
US
IV. Provider business mailing address
951 SW 88TH WAY
PEMBROKE PINES FL
33025-1448
US
V. Phone/Fax
- Phone: 954-774-5610
- Fax:
- Phone: 954-774-5610
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
LAKISHA
HILLS-WILLIAMS
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 754-300-8014