MEDICARE: YODALYS HOME HEALTH CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	299993040	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417931080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YODALYS HOME HEALTH CORP.

Provider Business Mailing Address
First Line	:	233 W WATERS AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-2947
Country	:	US
Telephone Number	:	813-886-8985
Fax Number	:	813-886-8497

Provider Business Practice Location Address
First Line	:	233 W WATERS AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-2947
Country	:	US
Telephone Number	:	813-886-8985
Fax Number	:	813-886-8497

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. YODALYS SIERRA-PEREZ
Credential	:
Telephone Number	:	813-886-8985

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	03/11/2025

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Directions to “YODALYS HOME HEALTH CORP. ” Practice Location

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