Healthcare Provider Details

I. General information

NPI: 1932004173
Provider Name (Legal Business Name): LISSETTE CARE HEALTH FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6355 NW 36TH ST STE 602
VIRGINIA GARDENS FL
33166-7059
US

IV. Provider business mailing address

6355 NW 36TH ST STE 602
VIRGINIA GARDENS FL
33166-7059
US

V. Phone/Fax

Practice location:
  • Phone: 786-285-0376
  • Fax: 954-890-4402
Mailing address:
  • Phone: 786-285-0376
  • Fax: 954-890-4402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: LISSETTE ORAMAS
Title or Position: OWNER, ADMINISTRATOR
Credential:
Phone: 786-285-0376