Organization Active NPI

Life Adult Daycare 2 LLC

  • Adult Day Care Clinic/Center
  • Miami, FL
National Provider Identifier
1104428671
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LIFE ADULT DAYCARE 2 LLC
Practice address
12873 SW 42ND St
Miami, FL 33175-3434
Phone
(305) 456-0407
Fax
(305) 456-7398
NPI assigned
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Ana Maria Cordero
Title
Owner
Phone
(786) 426-0099

Specialties & licenses 1

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

Addresses

Primary practice location

12873 SW 42ND St
Miami, FL 33175-3434

Mailing address

12873 SW 42ND St
Miami, FL 33175-3434
Phone (305) 456-0407

National Provider Directory

National Provider Directory

Locations

12873 SW 42nd St
Miami, FL 33175
Phone (305) 223-0506

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1104428671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12873 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753434",
            "telephone_number": "305-456-0407",
            "fax_number": "305-456-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12873 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753434",
            "telephone_number": "305-456-0407",
            "fax_number": "305-456-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ADULT DAYCARE 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-426-0099"
    },
    "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 Apr 27, 2021; 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.