Organization Active NPI

My Family Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Miami, FL
National Provider Identifier
1396510939
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MY FAMILY ADULT DAY CARE LLC
Practice address
10523 SW 40TH St
Miami, FL 33165-3747
Phone
(786) 803-8437
Fax
(786) 803-8569
NPI assigned
Nov 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Fernando C Perez
Title
Owner/Admin
Phone
(786) 393-8476

Specialties & licenses 1

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

Addresses

Primary practice location

10523 SW 40TH St
Miami, FL 33165-3747

Mailing address

10523 SW 40TH St
Miami, FL 33165-3747
Phone (786) 803-8437

Other identifiers 1

IdentifierTypeStateIssuer
9581OtherFLAHCA

National Provider Directory

National Provider Directory

Locations

10523 SW 40th St
Miami, FL 33165
Phone (305) 552-0504

NPI Registry JSON

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1396510939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10523 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653747",
            "telephone_number": "786-803-8437",
            "fax_number": "786-803-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10523 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653747",
            "telephone_number": "786-803-8437",
            "fax_number": "786-803-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FAMILY ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "786-393-8476"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "9581",
            "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 Nov 22, 2023; 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.