Provider Demographics
NPI:1669118261
Name:DYP AGENCY LLC
Entity type:Organization
Organization Name:DYP AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER NURSING ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:S
Authorized Official - Last Name:DORMEVIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-867-9822
Mailing Address - Street 1:4451 OLD WINTER GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-4244
Mailing Address - Country:US
Mailing Address - Phone:407-867-9822
Mailing Address - Fax:
Practice Address - Street 1:4451 OLD WINTER GARDEN RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-4244
Practice Address - Country:US
Practice Address - Phone:407-867-9822
Practice Address - Fax:407-237-9767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-07
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No344600000XTransportation ServicesTaxi
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility