Organization Active NPI

Provida Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • North Miami, FL
National Provider Identifier
1184555641
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
PROVIDA ADULT DAY CARE LLC
Practice address
436 NE 125TH St
North Miami, FL 33161-4717
Phone
(305) 602-5371
NPI assigned
May 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Mario Sepulveda
Title
Owner
Phone
(305) 602-5371

Specialties & licenses 1

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

Addresses

Primary practice location

436 NE 125TH St
North Miami, FL 33161-4717

Mailing address

7900 Oak LN Ste 400
Miami Lakes, FL 33016-6001
Phone (305) 602-5371

National Provider Directory

National Provider Directory

Locations

436 NE 125th St
North Miami, FL 33161
Phone (305) 602-5371

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1184555641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 OAK LN STE 400",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166001",
            "telephone_number": "305-602-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614717",
            "telephone_number": "305-602-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDA ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "SEPULVEDA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-602-5371"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.