Blue Angel Adult Day Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

9145 Issued in FL

Legal business name

BLUE ANGEL ADULT DAY CARE

Practice address

4057 SW 152ND Ave
Miami, FL 33185-5926

Phone

(305) 480-6787

Fax

(305) 221-6366

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Maria C Daniel, BS, RMA

Title

Administrator

Phone

(305) 480-6787

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1487955225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4057 SW 152ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855926",
            "telephone_number": "305-480-6787",
            "fax_number": "305-221-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4057 SW 152ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855926",
            "telephone_number": "305-480-6787",
            "fax_number": "305-221-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ANGEL ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-480-6787",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS, RMA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "9145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Miami, FL
• Providers in Miami, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.