Provider Demographics
| NPI: | 1831502491 |
|---|---|
| Name: | ABYS HOME SERVICES LLC |
| Entity type: | Organization |
| Organization Name: | ABYS HOME SERVICES LLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| 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: | 305-675-8040 |
| Practice Address - Street 1: | 6405 NW 36TH ST STE 123 |
| Practice Address - Street 2: | |
| Practice Address - City: | VIRGINIA GARDENS |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33166-6960 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 305-397-3597 |
| Practice Address - Fax: | 305-675-8040 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2014-06-11 |
| Last Update Date: | 2025-09-02 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Multi-Specialty | |
| No | 2080P0006X | Allopathic & Osteopathic Physicians | Pediatrics | Developmental - Behavioral Pediatrics | Group - Multi-Specialty |
| No | 222Q00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Developmental Therapist | Group - Multi-Specialty | |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 225A00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Music Therapist | Group - Multi-Specialty | |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| No | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy | Group - Multi-Specialty |
| No | 3747P1801X | Nursing Service Related Providers | Technician | Personal Care Attendant | Group - Multi-Specialty |
| No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| FL | 018713900 | Medicaid | |
| FL | 12052 | Other | HEALTH CARE CLINIC |