Supreme Adult Day Care, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SUPREME ADULT DAY CARE, INC

Practice address

8250 W 21St LN Ste 100
Hialeah, FL 33016-1908

Phone

(305) 846-9345

Fax

(305) 392-0316

NPI assigned

Apr 10, 2022

Organization subpart

No

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

Authorized official

Name

Vivian Fleitas

Title

President

Phone

(305) 846-9345

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649548800000",
    "number": "1699417741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 W 21ST LN STE 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161908",
            "telephone_number": "305-846-9345",
            "fax_number": "305-392-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 W 21ST LN STE 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161908",
            "telephone_number": "305-846-9345",
            "fax_number": "305-392-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME ADULT DAY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-10",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A",
        "authorized_official_last_name": "FLEITAS",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-846-9345"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Hialeah, FL
• Providers in Hialeah, 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 Apr 10, 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.