Healthcare Provider Details

I. General information

NPI: 1578989760
Provider Name (Legal Business Name): J & Y QUALITY CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2014
Last Update Date: 03/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 SW 87TH AVE
MIAMI FL
33165-6704
US

IV. Provider business mailing address

4901 SW 87TH AVE
MIAMI FL
33165-6704
US

V. Phone/Fax

Practice location:
  • Phone: 305-823-3312
  • Fax:
Mailing address:
  • Phone: 305-823-3312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JORGE ACEVEDO
Title or Position: OWNER
Credential:
Phone: 305-823-3312