Organization Active NPI

Magic City Adult Daycare LLC

  • Adult Day Care Clinic/Center
  • Miami, FL
National Provider Identifier
1881364248
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MAGIC CITY ADULT DAYCARE LLC
Practice address
10740 SW 72ND St
Miami, FL 33173-2702
Phone
(786) 312-3723
Fax
(305) 675-2677
NPI assigned
Sep 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Ana M Perez
Title
Owner
Phone
(786) 312-3723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

10740 SW 72ND St
Miami, FL 33173-2702

Mailing address

10740 SW 72ND St
Miami, FL 33173-2702
Phone (786) 312-3723

Other identifiers 1

IdentifierTypeStateIssuer
9519OtherFLAHCA

National Provider Directory

National Provider Directory

Locations

10740 SW 72nd St
Miami, FL 33173
Phone (786) 312-3723

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1881364248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732702",
            "telephone_number": "786-312-3723",
            "fax_number": "305-675-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732702",
            "telephone_number": "786-312-3723",
            "fax_number": "305-675-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC CITY ADULT DAYCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-312-3723"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "9519",
            "state": "FL"
        }
    ],
    "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 Sep 16, 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.