Active NPI
Precious Moments Adult Daycare Center
- Adult Day Care Clinic/Center
- Hialeah Gardens, FL
National Provider Identifier
1881263762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- PRECIOUS MOMENTS ADULT DAYCARE CENTER
- Practice address
- 13460 NW 107TH Ave Ste 5-6
Hialeah Gardens, FL 33018-1184 - Phone
- (786) 266-6042
- NPI assigned
- Jun 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alain Rodriguez
- Title
- Owner
- Phone
- (786) 266-6042
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
13460 NW 107TH Ave Ste 5-6
Hialeah Gardens, FL 33018-1184
Mailing address
13460 NW 107TH Ave Ste 5-6
Hialeah Gardens, FL 33018-1184
Phone (786) 266-6042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9505 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
13460 NW 107th Ave
Ste 56
Hialeah Gardens, FL 33018
Phone (786) 266-6042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624406400000",
"number": "1881263762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13460 NW 107TH AVE STE 5-6",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330181184",
"telephone_number": "786-266-6042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13460 NW 107TH AVE STE 5-6",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330181184",
"telephone_number": "786-266-6042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECIOUS MOMENTS ADULT DAYCARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "ALAIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-266-6042",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9505",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.