Healthcare Provider Details

I. General information

NPI: 1578404521
Provider Name (Legal Business Name): LA PATIENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20110 NE 3RD CT APT 4
NORTH MIAMI BEACH FL
33179-2962
US

IV. Provider business mailing address

20110 NE 3RD CT APT 4
NORTH MIAMI BEACH FL
33179-2962
US

V. Phone/Fax

Practice location:
  • Phone: 786-230-7779
  • Fax:
Mailing address:
  • Phone: 786-230-7779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
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: MS. FREDLYNN JOHANNE PERICLES
Title or Position: DIR
Credential:
Phone: 786-230-7779