Active Adult Day Care Center LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

9123 Issued in FL

Legal business name

ACTIVE ADULT DAY CARE CENTER LLC

Practice address

1470 NW 36TH Street
Miami, FL 33142

Phone

(305) 635-9933

Fax

(305) 635-9767

NPI assigned

Mar 18, 2011

Organization subpart

No

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

Authorized official

Name

Ana Iris Piloto

Title

Director

Phone

(305) 635-9933

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1750680658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 NW 36TH STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33142",
            "telephone_number": "305-635-9933",
            "fax_number": "305-635-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 NW 36TH STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33142",
            "telephone_number": "305-635-9933",
            "fax_number": "305-635-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE ADULT DAY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "PILOTO",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "IRIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-635-9933"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "9123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002011600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Miami, FL
• Providers in Miami, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.