Sweetwater Adult Care & Activity Center

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

9241 Issued in FL

Legal business name

SWEETWATER ADULT CARE & ACTIVITY CENTER

Practice address

11391 W Flagler St
Miami, FL 33174-1185

Phone

(305) 495-3587

NPI assigned

May 16, 2013

Organization subpart

No

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

Authorized official

Name

Gisselle Perez

Title

President

Phone

(305) 495-3587

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1750727830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11391 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11391 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741185",
            "telephone_number": "305-495-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER ADULT CARE & ACTIVITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "GISSELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-495-3587"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "FL",
            "license": "9241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sean Swieczkowski, PHARMD
• Swiftscript Inc

• Custodial Care Facility in Miami, FL
• Providers in Miami, FL by specialty
• Custodial Care Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.