MEDICARE: SUNSET SENIORS ADULT DAY CARE

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	311ZA0620X	Adult Care Home Facility		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487099099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSET SENIORS ADULT DAY CARE

Provider Business Mailing Address
First Line	:	9644 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3250
Country	:	US
Telephone Number	:	305-588-2208
Fax Number	:

Provider Business Practice Location Address
First Line	:	9644 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3250
Country	:	US
Telephone Number	:	305-588-2208
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. OMAR MENDEZ
Credential	:
Telephone Number	:	305-588-2208

Provider Enumeration Date	:	05/09/2013
Last Update Date	:	05/09/2013

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Directions to “SUNSET SENIORS ADULT DAY CARE ” Practice Location

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