Organization · NPI-2

Aegis Registry LLC

In Home Supportive Care · Hialeah, FL

NPI number1811810336
StatusActive
Last updated in NPPESAug 1, 2026

Details

NPI
1811810336
Entity type
Organization (NPI-2)
Legal business name
Aegis Registry LLC
Organization subpart
No
Enumeration date
Aug 1, 2026
Certification date
Aug 1, 2026
Last updated
Aug 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

10436 W 34th Ct
Hialeah, FL 33018-2112

Phone 786-812-9040

Mailing address

10436 W 34th Ct
Hialeah, FL 33018-2112

Phone 786-812-9040

Authorized official

Christopher Nieves
Owner
7868129040

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