Healthcare Provider Details

I. General information

NPI: 1831502491
Provider Name (Legal Business Name): ABYS HOME SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2014
Last Update Date: 09/02/2025
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6405 NW 36TH ST STE 123
VIRGINIA GARDENS FL
33166-6960
US

IV. Provider business mailing address

6405 NW 36TH ST STE 123
VIRGINIA GARDENS FL
33166-6960
US

V. Phone/Fax

Practice location:
  • Phone: 305-397-3597
  • Fax: 305-675-8040
Mailing address:
  • Phone: 305-397-3597
  • Fax: 305-675-8040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 9
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 10
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: YANISLEIDYS TRABADO
Title or Position: PRESIDENT
Credential:
Phone: 305-397-3597