NPIMap

Organization Active NPI

Medlife Activity Center, LLC

Doing business as Medlife Adult Activity Center

  • Adult Day Care Clinic/Center
  • Miami, FL
National Provider Identifier
1477957041
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
9290 Issued in FL
Legal business name
MEDLIFE ACTIVITY CENTER, LLC
Doing business as
Medlife Adult Activity Center
Practice address
11825 SW 26TH St
Miami, FL 33175-2464
Phone
(305) 588-0570
Fax
(786) 837-2902
NPI assigned
Oct 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Authorized official

Name
Celia Maria Lopez Hornia
Title
Administrator
Phone
(305) 588-0570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 9290 FL Primary

Addresses

Primary practice location

11825 SW 26TH St
Miami, FL 33175-2464

Mailing address

11825 SW 26TH St
Miami, FL 33175-2464
Phone (305) 588-0570

Other names 1

  • Medlife Adult Activity Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medlife Activity Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1477957041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752464",
            "telephone_number": "305-588-0570",
            "fax_number": "786-837-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752464",
            "telephone_number": "305-588-0570",
            "fax_number": "786-837-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLIFE ACTIVITY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "HORNIA",
        "authorized_official_first_name": "CELIA",
        "authorized_official_middle_name": "MARIA LOPEZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-588-0570"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medlife Adult Activity Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 10, 2014; 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.