NPIMap

Organization Active NPI

Little Havana Activities and Nutrition Centers of Dade County

  • Adult Day Care Clinic/Center
  • Miami, FL
National Provider Identifier
1124473061
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
9342 Issued in FL
Legal business name
LITTLE HAVANA ACTIVITIES AND NUTRITION CENTERS OF DADE COUNTY
Practice address
8551 Hammocks Blvd
Miami, FL 33193-4172
Phone
(305) 858-0887
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Mr. Rafael Iglesias
Title
Ceo/President
Phone
(305) 858-0887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 9342 FL Primary

Addresses

Primary practice location

8551 Hammocks Blvd
Miami, FL 33193-4172

Mailing address

700 SW 8TH St
Miami, FL 33130-3311

Other identifiers 1

IdentifierTypeStateIssuer
109883300MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Little Havana Activities Nutrition Centers of Dade County Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8551 Hammocks Blvd
Miami, FL 33193
Phone (305) 858-0887

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1124473061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 HAMMOCKS BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331934172",
            "telephone_number": "305-858-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE HAVANA ACTIVITIES AND NUTRITION CENTERS OF DADE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "305-858-0887",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109883300",
            "state": "FL"
        }
    ],
    "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 Jun 7, 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.