NPIMap

Organization Active NPI

Copacabana Adult Day Care Center Corp

  • Adult Day Care Clinic/Center
  • Hialeah, FL
National Provider Identifier
1174831960
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
9124 Issued in FL
Legal business name
COPACABANA ADULT DAY CARE CENTER CORP
Practice address
3800 W 12TH Ave
Suite 2
Hialeah, FL 33012-7793
Phone
(786) 879-2000
NPI assigned
Sep 15, 2010
Last updated
Sep 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Mr. Daniel Sanchez
Title
President
Phone
(786) 879-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 9124 FL Primary

Addresses

Primary practice location

3800 W 12TH Ave
Suite 2
Hialeah, FL 33012-7793

Mailing address

3800 W 12TH Ave
Suite 2
Hialeah, FL 33012-7793
Phone (786) 879-2000

Other identifiers 1

IdentifierTypeStateIssuer
AD12962188OtherFLLICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

3800 W 12th Ave
Ste 2
Hialeah, FL 33012
Phone (786) 879-2000

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1174831960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W 12TH AVE",
            "address_2": "SUITE 2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127793",
            "telephone_number": "786-879-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W 12TH AVE",
            "address_2": "SUITE 2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127793",
            "telephone_number": "786-879-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPACABANA ADULT DAY CARE CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-879-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AD12962188",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.