Organization Active NPI

Yodalys Home Health Corp.

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1417931080
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299993040 Issued in FL
Legal business name
YODALYS HOME HEALTH CORP.
Practice address
233 W Waters Ave
Tampa, FL 33604-2947
Phone
(813) 886-8985
Fax
(813) 886-8497
NPI assigned
Dec 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Yodalys Sierra-Perez
Title
Owner
Phone
(813) 886-8985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993040 FL Primary

Addresses

Primary practice location

233 W Waters Ave
Tampa, FL 33604-2947

Mailing address

233 W Waters Ave
Tampa, FL 33604-2947
Phone (813) 886-8985

Other identifiers 2

IdentifierTypeStateIssuer
025148500MedicaidFL
651518500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120727000316 FL Part A Provider - Home Health Agency 1658537121 Practice locations: Tampa, FL

Home health agency certification: CCN 103173

Legal name
YODALYS HOME HEALTH CORP.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 29, 2013
Last certification
Jan 5, 2016
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 10, 2003 in FL
Enrollment address
233 W Waters Ave
Tampa, FL 33604-2947

Care Compare: Home health agency

Medicare Care Compare
Listed as
Yodalys Home Health CorpCCN 103173 · All quality measures
Ownership
Proprietary
Certified
Jan 29, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2049197Yodalys Home Health Corp233 W Waters Ave, Tampa, FL 33604Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory

Locations

233 W Waters Ave
Tampa, FL 33604
Phone (813) 886-8985

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Yodalys Sierra Perez Individual 5% Or Greater Direct Ownership Interest Mar 24, 2018 100%
Corporate OfficerPresident Jan 10, 2003 100%
W-2 Managing EmployeeAdministrator Mar 24, 2018 100%

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1417931080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042947",
            "telephone_number": "813-886-8985",
            "fax_number": "813-886-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042947",
            "telephone_number": "813-886-8985",
            "fax_number": "813-886-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YODALYS HOME HEALTH CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "SIERRA-PEREZ",
        "authorized_official_first_name": "YODALYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-886-8985",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025148500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651518500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.