Organization Active NPI

Precious Moments Adult Daycare Center

  • Adult Day Care Clinic/Center
  • Hialeah Gardens, FL
National Provider Identifier
1881263762
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Jun 23, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9505MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.