Healthcare Provider Details

I. General information

NPI: 1225957814
Provider Name (Legal Business Name): MY DREAM HOPE EMPLOYMENT & HEALTHCARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16901 NW 42ND AVE
MIAMI GARDENS FL
33055
US

IV. Provider business mailing address

18232 NW 27TH AVE
MIAMI GARDENS FL
33056-3501
US

V. Phone/Fax

Practice location:
  • Phone: 305-690-1818
  • Fax: 305-690-1818
Mailing address:
  • Phone: 305-690-1818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MYRTHA LULY
Title or Position: OWNER
Credential:
Phone: 305-690-1818