MEDICARE: LAS MERCEDES ADULT DAY CARE V, 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	:	1841004538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAS MERCEDES ADULT DAY CARE V, LLC

Provider Business Mailing Address
First Line	:	9839 SW 40TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-3993
Country	:	US
Telephone Number	:	305-912-8595
Fax Number	:	786-636-6989

Provider Business Practice Location Address
First Line	:	1247 W 44TH PL
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3331
Country	:	US
Telephone Number	:	305-912-8595
Fax Number	:	786-636-6989

Authorized Official
Title or Position	:	DIRECTOR
Name	:	CLARA RIVAS
Credential	:
Telephone Number	:	305-915-8595

Provider Enumeration Date	:	02/04/2025
Last Update Date	:	02/04/2025

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