Organization Active NPI

Simon Adult Day Care

  • Custodial Care Facility
  • Miami, FL
National Provider Identifier
1659627099
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
9206 Issued in FL
Legal business name
SIMON ADULT DAY CARE
Practice address
2668 SW 137TH Ave
Miami, FL 33175-6314
Phone
(786) 709-3298
Fax
(786) 709-3298
NPI assigned
Aug 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Mr. Osvaldo Ruiz
Title
Owner
Phone
(786) 709-3298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 9206 FL Primary

Addresses

Primary practice location

2668 SW 137TH Ave
Miami, FL 33175-6314

Mailing address

2668 SW 137TH Ave
Miami, FL 33175-6314
Phone (786) 709-3298

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1659627099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2668 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756314",
            "telephone_number": "786-709-3298",
            "fax_number": "786-709-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2668 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756314",
            "telephone_number": "786-709-3298",
            "fax_number": "786-709-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-709-3298",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "FL",
            "license": "9206",
            "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 Aug 2, 2012; 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.