Organization Active NPI

Roseland Adult Daycare, Inc.

  • Adult Day Care Clinic/Center
  • Miami, FL
National Provider Identifier
1558441329
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
9067 Issued in FL
Legal business name
ROSELAND ADULT DAYCARE, INC.
Practice address
855 SW 97TH Ave
Miami, FL 33174-2932
Phone
(786) 388-7673
Fax
(305) 264-2771
NPI assigned
Oct 16, 2006
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Henry A. Rodriguez
Title
Owner
Phone
(305) 318-0121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 9067 FL Primary

Addresses

Primary practice location

855 SW 97TH Ave
Miami, FL 33174-2932

Mailing address

855 SW 97TH Ave
Miami, FL 33174-2932
Phone (786) 388-7673

National Provider Directory

National Provider Directory

Locations

855 SW 97th Ave
Miami, FL 33174
Phone (786) 388-7673

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1558441329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SW 97TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742932",
            "telephone_number": "786-388-7673",
            "fax_number": "305-264-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SW 97TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742932",
            "telephone_number": "786-388-7673",
            "fax_number": "305-264-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELAND ADULT DAYCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-318-0121"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9067",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 31, 2021; 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.