Organization
TWO MOONS HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANET LOPEZ DE LA VEGA (OWNER)
(786) 200-8845
Entity
Organization
Contact information
Practice address
5201 WATERFORD DISTRICT DR STE 800, MIAMI, FL 33126-7050
(305) 537-4210
(786) 414-3693
Mailing address
5201 WATERFORD DISTRICT DR STE 800, MIAMI, FL 33126-7050
(305) 537-4210
(786) 414-3693
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30212486
AHCA
FL
Enumeration date
11/03/2022
Last updated
06/06/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us