Healthcare Provider Details

I. General information

NPI: 1053066803
Provider Name (Legal Business Name): RIGHT BY YOU LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2022
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1038 LAKE BERKLEY DR
KISSIMMEE FL
34746-6127
US

IV. Provider business mailing address

1038 LAKE BERKLEY DR
KISSIMMEE FL
34746-6127
US

V. Phone/Fax

Practice location:
  • Phone: 772-475-1463
  • Fax: 407-777-8905
Mailing address:
  • Phone: 772-475-1463
  • Fax: 407-777-8905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. CATHY STEVENS
Title or Position: OWNER
Credential:
Phone: 772-475-1463