Organization Active NPI

El Eden Adult Day Care Center Corp

  • Adult Day Care Clinic/Center
  • Miami, FL
National Provider Identifier
1881156537
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
EL EDEN ADULT DAY CARE CENTER CORP
Practice address
12700 SW 122ND Ave Ste 101
Miami, FL 33186-5271
Phone
(786) 592-2459
NPI assigned
Apr 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Jorge S Rodriguez
Title
Administrator/ Owner
Phone
(305) 303-8906

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Adult Day Care Clinic/Center 261QA0600X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

12700 SW 122ND Ave Ste 101
Miami, FL 33186-5271

Mailing address

12700 SW 122ND Ave Ste 101-102
Miami, FL 33186-5265
Phone (786) 592-2459

National Provider Directory

National Provider Directory

Locations

12700 SW 122nd Ave
Ste 101
Miami, FL 33186
Phone (786) 592-2459

12700 SW 122nd Ave
Ste 101102
Miami, FL 33186

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1881156537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SW 122ND AVE STE 101-102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865265",
            "telephone_number": "786-592-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SW 122ND AVE STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865271",
            "telephone_number": "786-592-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL EDEN ADULT DAY CARE CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR/ OWNER",
        "authorized_official_telephone_number": "305-303-8906"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.