Centro la Edad de Oro Adult Day Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

9168 Issued in FL

Legal business name

CENTRO LA EDAD DE ORO ADULT DAY CARE

Doing business as

Anos Dorados Adult Day Care

Practice address

9815 SW 40TH St
Miami, FL 33165-3911

Phone

(786) 797-5603

NPI assigned

Aug 16, 2012

Last updated

Nov 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisbet Vargas

Title

President

Phone

(786) 797-5603

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Anos Dorados Adult Day Care Doing business as
• CENTRO LA EDAD DE ORO ADULT DAY CARE Former legal business name

Locations

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1891043246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9815 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653911",
            "telephone_number": "786-797-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653911",
            "telephone_number": "786-797-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO LA EDAD DE ORO ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "LISBET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-797-5603"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "9168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION",
            "identifier": "9168",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anos Dorados Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRO LA EDAD DE ORO ADULT DAY CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Adult Care Home Facility in Miami, FL
• Providers in Miami, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.