Healthcare Provider Details

I. General information

NPI: 1427867159
Provider Name (Legal Business Name): ASIDAS HEALTHCARE AND STAFFING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4839 BIMINI CIR N
WEST PALM BEACH FL
33407-1737
US

IV. Provider business mailing address

1271 SCOTTSDALE RD S
WEST PALM BEACH FL
33417-5650
US

V. Phone/Fax

Practice location:
  • Phone: 561-254-4457
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SADISA COORE
Title or Position: DIRECTOR
Credential:
Phone: 561-254-4457