Healthcare Provider Details

I. General information

NPI: 1487229506
Provider Name (Legal Business Name): YS ALEXIX'S ADULT FAMILY CARE HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2021
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 24TH ST
SARASOTA FL
34234-7726
US

IV. Provider business mailing address

2535 24TH ST
SARASOTA FL
34234-7726
US

V. Phone/Fax

Practice location:
  • Phone: 239-887-7708
  • Fax:
Mailing address:
  • Phone: 239-887-7708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. YVETTE SIRONEL
Title or Position: PROVIDER
Credential:
Phone: 239-887-7708