Healthcare Provider Details

I. General information

NPI: 1811824519
Provider Name (Legal Business Name): SACRED ADULT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5841 CORPORATE WAY STE 101
WEST PALM BEACH FL
33407-2039
US

IV. Provider business mailing address

5841 CORPORATE WAY STE 101
WEST PALM BEACH FL
33407-2039
US

V. Phone/Fax

Practice location:
  • Phone: 561-328-8643
  • Fax: 561-879-4977
Mailing address:
  • Phone: 561-328-8643
  • Fax: 561-879-4977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDER YEPES
Title or Position: OWNER
Credential:
Phone: 786-285-6954