Healthcare Provider Details

I. General information

NPI: 1245403484
Provider Name (Legal Business Name): ABELLA YOSE CARE SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 07/25/2022
Certification Date: 07/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 NW 151ST ST SUITE 217
MIAMI LAKES FL
33014-2451
US

IV. Provider business mailing address

5901 NW 151ST ST STE 102
MIAMI LAKES FL
33014-2428
US

V. Phone/Fax

Practice location:
  • Phone: 305-362-1128
  • Fax: 305-362-1129
Mailing address:
  • Phone: 305-362-1128
  • Fax: 305-362-1129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299993012
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ONEIDA ABELLA
Title or Position: PRESIDENT
Credential:
Phone: 305-362-1128