Executive Adult Day Care Center Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

9175 Issued in FL

Legal business name

EXECUTIVE ADULT DAY CARE CENTER INC

Practice address

291 Park Blvd
Miami, FL 33126-8010

Phone

(305) 261-2700

Fax

(305) 261-2777

NPI assigned

Jul 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Omar De la Cruz

Title

Operator

Phone

(305) 261-2700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1740535269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 PARK BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331268010",
            "telephone_number": "305-261-2700",
            "fax_number": "305-261-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 PARK BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331268010",
            "telephone_number": "305-261-2700",
            "fax_number": "305-261-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE ADULT DAY CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "305-261-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9175",
            "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 Jul 20, 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.