Healthcare Provider Details

I. General information

NPI: 1952569402
Provider Name (Legal Business Name): THE BEYDA ADULT DAY CARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 03/11/2022
Certification Date: 03/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

754 RIVERSIDE DR
CORAL SPRINGS FL
33071
US

IV. Provider business mailing address

754 RIVERSIDE DR
CORAL SPRINGS FL
33071-7006
US

V. Phone/Fax

Practice location:
  • Phone: 954-743-0003
  • Fax: 954-743-0004
Mailing address:
  • Phone: 954-341-7788
  • Fax: 954-743-0003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number9070
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number9070
License Number StateFL

VIII. Authorized Official

Name: LEWIS BEYDA
Title or Position: OWNER / EXECUTIVE DIRECTOR
Credential:
Phone: 954-743-0003