Crystal Paradise Adult Day Care Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

9219 Issued in FL

Legal business name

CRYSTAL PARADISE ADULT DAY CARE INC.

Practice address

6355 SW 8TH Street-Ste. 2W
Miami, FL 33144

Phone

(305) 261-0030

Fax

(305) 261-0032

NPI assigned

Oct 31, 2012

Organization subpart

No

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

Authorized official

Name

Kenia Perez

Title

Owner

Phone

(786) 317-2890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1639423445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 SW 8TH STREET-STE. 2W",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33144",
            "telephone_number": "305-261-0030",
            "fax_number": "305-261-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 SW 8TH STREET-STE. 2W",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33144",
            "telephone_number": "305-261-0030",
            "fax_number": "305-261-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL PARADISE ADULT DAY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "KENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-317-2890"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.