Grandparents Club Adult Day Care, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GRANDPARENTS CLUB ADULT DAY CARE, LLC

Practice address

4729 NW 183 Street
Miami, FL 33055

Phone

(786) 916-5306

Fax

(786) 916-5307

NPI assigned

Jun 25, 2014

Last updated

Dec 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vanessa Lynn Nava

Title

Owner

Phone

(305) 890-1371

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1750796025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 NW 183 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33055",
            "telephone_number": "786-916-5306",
            "fax_number": "786-916-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 NW 183 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33055",
            "telephone_number": "786-916-5306",
            "fax_number": "786-916-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDPARENTS CLUB ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "NAVA",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-890-1371"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016145700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "018327000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyrone K Grandison, DMFT, LMFT
• Grandma Behavior Solution Corp
• Grandmother's Home Care Corp
• Grandpa Adult Day Care, Inc
• Grandparents Adult Day Care Corp.
• Grandparents Place Inc
• Ana Luiza Oliveira Graneiro, MD
• Granito de Moztaza Inc
• Karen Granja, LMHC
• Sonia Cecilia Grannum, ARNP

• 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 Dec 1, 2016; 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.