Eternal Life Services Corp

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ETERNAL LIFE SERVICES CORP

Practice address

7971 Riviera Blvd Ste 325
Miramar, FL 33023-6449

Phone

(305) 726-3478

NPI assigned

Aug 20, 2024

Organization subpart

No

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

Authorized official

Name

Nelson Ferrod

Title

President

Phone

(305) 726-3478

Specialties & licenses 1

Addresses

Tax ID family

Eternal Life Services Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eternal Life Services Corp

  • Developmental Disabilities Clinic/Center
  • Miami, FL
  • NPI 1700420205
  NPD tax ID

Locations

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1649003336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7971 RIVIERA BLVD STE 325",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236449",
            "telephone_number": "305-726-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7971 RIVIERA BLVD STE 325",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236449",
            "telephone_number": "305-726-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL LIFE SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "FERROD",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-726-3478"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Estevez Valdes
• Marvin Estrada
• Estrella Medical Supplies LLC
• Minerva Estrella, MSW
• Keshana Esty
• Ethos Therapy, Inc
• Michele-Ange Etienne, RN
• Nadia Shaina Etienne
• Javan Ettiene
• Paul Andre Eugene, MD

• Home Health Agency in Miramar, FL
• Providers in Miramar, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.