Organization Active NPI

St Jude Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Miami, FL
National Provider Identifier
1083986574
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
9185 Issued in FL
Legal business name
ST JUDE ADULT DAY CARE LLC
Practice address
9740 S.W. 24TH Street Section C
Miami, FL 33165
Phone
(305) 221-7005
Fax
(888) 959-1340
NPI assigned
Jan 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Lilianny Camejo
Title
Owner
Phone
(305) 484-3599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 9185 FL Primary

Addresses

Primary practice location

9740 S.W. 24TH Street Section C
Miami, FL 33165

Mailing address

9740 S.W. 24TH Street Section C
Miami, FL 33165
Phone (305) 221-7005

National Provider Directory

National Provider Directory

Locations

9740 SW 24th St
#C
Miami, FL 33165
Phone (305) 221-7005

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1083986574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9740 S.W. 24TH STREET SECTION C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "305-221-7005",
            "fax_number": "888-959-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 S.W. 24TH STREET SECTION C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "305-221-7005",
            "fax_number": "888-959-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "CAMEJO",
        "authorized_official_first_name": "LILIANNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-484-3599"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9185",
            "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 Apr 4, 2024; 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.