Provider Demographics
NPI:1033878160
Name:ABYS HOME SERVICES LLC
Entity Type:Organization
Organization Name:ABYS HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YANISLEIDYS
Authorized Official - Middle Name:
Authorized Official - Last Name:TRABADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-397-3597
Mailing Address - Street 1:6405 NW 36TH ST STE 123
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6960
Mailing Address - Country:US
Mailing Address - Phone:305-397-3597
Mailing Address - Fax:
Practice Address - Street 1:5001 SW 170TH AVE
Practice Address - Street 2:
Practice Address - City:SOUTHWEST RANCHES
Practice Address - State:FL
Practice Address - Zip Code:33331-1218
Practice Address - Country:US
Practice Address - Phone:786-872-4325
Practice Address - Fax:305-675-8040
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABYS HOME SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-16
Last Update Date:2023-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2Medicaid