MEDICARE: XCLUSIVE SENIOR DAY CARE CENTER II LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1467310771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XCLUSIVE SENIOR DAY CARE CENTER II LLC

Provider Business Mailing Address
First Line	:	705 E 8TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4613
Country	:	US
Telephone Number	:	305-320-9820
Fax Number	:

Provider Business Practice Location Address
First Line	:	705 E 8TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4613
Country	:	US
Telephone Number	:	305-320-9820
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YURYSAN RIOS RAMIREZ
Credential	:
Telephone Number	:	786-400-6654

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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