Organization Active NPI

Genesis Adult Day Care Inc

  • Adult Day Care Clinic/Center
  • Miami Gardens, FL
National Provider Identifier
1063105526
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GENESIS ADULT DAY CARE INC
Practice address
4888 NW 183Rd St Ste 108-109
Miami Gardens, FL 33055-2900
Phone
(786) 202-5536
Fax
(305) 974-5145
NPI assigned
May 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mayrelis Prieto
Title
Owner
Phone
(786) 202-5536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

4888 NW 183Rd St Ste 108-109
Miami Gardens, FL 33055-2900

Mailing address

4888 NW 183Rd St Ste 108-109
Miami Gardens, FL 33055-2900
Phone (786) 202-5536

National Provider Directory

National Provider Directory

Locations

4888 NW 183rd St
Ste 108109
Miami Gardens, FL 33055
Phone (786) 202-5536

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1063105526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4888 NW 183RD ST STE 108-109",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552900",
            "telephone_number": "786-202-5536",
            "fax_number": "305-974-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4888 NW 183RD ST STE 108-109",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552900",
            "telephone_number": "786-202-5536",
            "fax_number": "305-974-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ADULT DAY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "MAYRELIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-202-5536"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.