NPIMap

Organization Active NPI

Little Havana Activities and Nutrition Centers of Dade County

  • Adult Day Care Clinic/Center
  • Hialeah, FL
National Provider Identifier
1881851426
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LITTLE HAVANA ACTIVITIES AND NUTRITION CENTERS OF DADE COUNTY
Practice address
4410 W 16TH Ave
Suite #28C
Hialeah, FL 33012-7100
Phone
(305) 558-2570
NPI assigned
May 21, 2008
Last updated
Jul 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Rafael Iglesias
Title
President/Ceo
Phone
(305) 858-0887

Specialties & licenses 1

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

Addresses

Primary practice location

4410 W 16TH Ave
Suite #28C
Hialeah, FL 33012-7100

Mailing address

700 SW 8TH St
Miami, FL 33130-3311
Phone (305) 858-0887

Other identifiers 1

IdentifierTypeStateIssuer
683269500MedicaidFL

Other names 1

  • LHANC - HIA ADC Other name

National Provider Directory

National Provider Directory
Tax ID family
Little Havana Activities Nutrition Centers of Dade County Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4410 W 16th Ave
Ste 28C
Hialeah, FL 33012
Phone (305) 558-2570

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1881851426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303311",
            "telephone_number": "305-858-0887",
            "fax_number": "305-854-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W 16TH AVE",
            "address_2": "SUITE #28C",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127100",
            "telephone_number": "305-558-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE HAVANA ACTIVITIES AND NUTRITION CENTERS OF DADE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "305-858-0887"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "683269500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LHANC - HIA ADC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "LHANC - HIA ADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.