Organization Active NPI

Celebration Adult Day Care Inc

  • Adult Day Care Clinic/Center
  • Miami, FL
National Provider Identifier
1962762526
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
9194 Issued in FL
Legal business name
CELEBRATION ADULT DAY CARE INC
Practice address
10739 W Flagler St
Miami, FL 33174-1421
Phone
(305) 631-2616
NPI assigned
May 16, 2012
Last updated
Jun 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Susana Rodriguez
Title
Owner
Phone
(786) 352-1753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 9194 FL Primary

Addresses

Primary practice location

10739 W Flagler St
Miami, FL 33174-1421

Mailing address

10739 W Flagler St
Miami, FL 33174-1421
Phone (305) 631-2616

Other identifiers 1

IdentifierTypeStateIssuer
009962500MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1962762526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10739 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741421",
            "telephone_number": "305-631-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10739 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741421",
            "telephone_number": "305-631-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRATION ADULT DAY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-352-1753"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009962500",
            "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 Jun 12, 2023; 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.