LEIDYS HERRADA
NPI 1609467836
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Clewiston, FL

Q: What is Leidys Herrada's NPI number?

The NPI number for Leidys Herrada is 1609467836. It was assigned to this individual provider in the NPPES registry on January 30, 2021.

Q: What is Leidys Herrada's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Leidys Herrada was last updated on January 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 30, 2021

607 W OBISPO AVE, CLEWISTON, FL 33440(863) 677-4189 Get Directions Write a Review

NPPES record last updated: January 30, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Leidys Herrada NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEIDYS HERRADA (NPI 1609467836) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Clewiston, Florida, licensed in Florida (5582-6-GA) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1609467836

Entity TypeIndividualFemale

Primary Taxonomy320600000X

Provider Legal NameLEIDYS HERRADA

Location Address607 W OBISPO AVEClewiston, FL 33440-4326

Mailing Address607 W Obispo AveClewiston, FL 33440-4326 · (863) 677-4189

Phone(863) 677-4189

Sole ProprietorYes

Enumeration DateJanuary 30, 2021

NPPES CertifiedJanuary 30, 2021

✔ NPI 1609467836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in FL · 5582-6-GA

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

607 W OBISPO AVE, Clewiston, FL 33440

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Other Identifiers 1

Medicaid015443100FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEIDYS CARE GROUP HOME CORP

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

607 W OBISPO AVE
CLEWISTON, FL 33440

Hendry County (863) 677-4189

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leidys Herrada's NPI number?

The NPI number for Leidys Herrada is 1609467836. It was assigned to this individual provider in the NPPES registry on January 30, 2021.

Where is Leidys Herrada located?

Leidys Herrada practices at 607 W Obispo Ave, Clewiston, FL 33440. The listed phone number is (863) 677-4189.

What is Leidys Herrada's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Leidys Herrada was last updated on January 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.