Organization Active NPI

Kendall Social Club Center Inc

  • Adult Day Care Clinic/Center
  • Miami, FL
National Provider Identifier
1073489175
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
KENDALL SOCIAL CLUB CENTER INC
Practice address
8905 SW 169TH CT Ste 101-102
Miami, FL 33196-4770
Phone
(786) 485-4155
NPI assigned
Oct 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Brian J Fundora
Title
President
Phone
(305) 763-3916

Specialties & licenses 1

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

Addresses

Primary practice location

8905 SW 169TH CT Ste 101-102
Miami, FL 33196-4770

Mailing address

8905 SW 169TH CT Ste 101-102
Miami, FL 33196-4770
Phone (786) 485-4155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1073489175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 SW 169TH CT STE 101-102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964770",
            "telephone_number": "786-485-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 SW 169TH CT STE 101-102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964770",
            "telephone_number": "786-485-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL SOCIAL CLUB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "FUNDORA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-763-3916"
    },
    "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, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.