Healthcare Provider Details

I. General information

NPI: 1104306448
Provider Name (Legal Business Name): ANGELS HANDS REHAB SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2018
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4270 SW 97TH AVE
MIAMI FL
33165-5876
US

IV. Provider business mailing address

4270 SW 97TH AVE
MIAMI FL
33165-5117
US

V. Phone/Fax

Practice location:
  • Phone: 786-525-6967
  • Fax: 786-607-9398
Mailing address:
  • Phone: 786-525-6967
  • Fax: 786-607-9398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberOT12373
License Number StateFL

VIII. Authorized Official

Name: ANAYS AMADOR
Title or Position: PRESIDENT
Credential: OT
Phone: 786-525-6967