Yudelka Berroa, CNA

Individual provider Active NPI Nurse's Aide · Providence, RI

NPI 1801557129 · NPPES record last updated Jan 8, 2022

Key facts

NPI
1801557129
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
Practice address
807 Broad St RM 233
Providence, RI 02907-1678
Phone
(401) 585-9298
NPI assigned
Jan 8, 2022
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Abraham Home Care Provider LLC Current
since Jan 26, 2022
Accepting new patients

Locations

807 Broad St
Rm 233
Providence, RI 02907
Phone (401) 585-9298

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X Yes

Addresses

Primary practice location

807 Broad St RM 233
Providence, RI 02907-1678

Mailing address

176 Pavilion Ave Apt 1
Providence, RI 02905-1607
Phone (401) 585-9298

Other providers in Providence, RI

All providers in Providence, RI · Nurse's Aide in Rhode Island

Sources for this page

Verify at the official NPI Registry.