Healthcare Provider Details

I. General information

NPI: 1093827313
Provider Name (Legal Business Name): HAPPY TIMES ADULT DAY CARE CENTER, CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 01/13/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 W 29TH ST, SUITE A & B
HIALEAH FL
33012-5736
US

IV. Provider business mailing address

50 W 29TH ST, SUITE A & B
HIALEAH FL
33012-5736
US

V. Phone/Fax

Practice location:
  • Phone: 305-805-1040
  • Fax: 305-805-0999
Mailing address:
  • Phone: 305-805-1040
  • Fax: 305-805-0999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number8835
License Number StateFL

VIII. Authorized Official

Name: MAYELIN CORREA
Title or Position: OWNER
Credential:
Phone: 305-510-5745