Active NPI
Anisley Hernandez
- Personal Care Attendant
- Davie, FL
National Provider Identifier
1659752160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 10650 W State Road 84 Ste 206
Davie, FL 33324-4235 - Phone
- (954) 634-3636
- NPI assigned
- Jun 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-155057 | FL | |
| Personal Care Attendant | 3747P1801X | FL | Primary |
Addresses
Primary practice location
10650 W State Road 84 Ste 206
Davie, FL 33324-4235
Mailing address
489 E 26TH St Apt 5
Hialeah, FL 33013-3829
Phone (786) 315-0183
Other practice location 1
489 E 26th St Apt 5
Hialeah, FL 33013-3829
Phone (786) 315-0183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013321100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-155057 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angels Services, Corp. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Miramar, FL
- NPI 1053559088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1659752160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "489 E 26TH ST APT 5",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133829",
"telephone_number": "786-315-0183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10650 W STATE ROAD 84 STE 206",
"city": "DAVIE",
"state": "FL",
"postal_code": "333244235",
"telephone_number": "954-634-3636"
}
],
"practiceLocations": [
{
"address_1": "489 E 26th St Apt 5",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330133829",
"country_code": "US",
"telephone_number": "786-315-0183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ANISLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-11",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-21-155057",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013321100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.