Organization Active NPI

Broward Adult Day Care Center

  • Adult Day Care Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1104217157
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
BROWARD ADULT DAY CARE CENTER
Practice address
2615 Davie Blvd
Fort Lauderdale, FL 33312-3029
Phone
(954) 791-1611
Fax
(954) 688-2551
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Abraham Alonso
Title
President
Phone
(305) 798-4535

Specialties & licenses 1

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

Addresses

Primary practice location

2615 Davie Blvd
Fort Lauderdale, FL 33312-3029

Mailing address

2615 Davie Blvd
Fort Lauderdale, FL 33312-3029
Phone (954) 791-1611

National Provider Directory

National Provider Directory

Locations

2615 Davie Blvd
Fort Lauderdale, FL 33312
Phone (954) 791-1611

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1104217157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 DAVIE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333123029",
            "telephone_number": "954-791-1611",
            "fax_number": "954-688-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 DAVIE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333123029",
            "telephone_number": "954-791-1611",
            "fax_number": "954-688-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "ALONSO",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-798-4535"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.