Healthcare Provider Details

I. General information

NPI: 1215282884
Provider Name (Legal Business Name): ANGELS ADULT DAY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2012
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8051 W 24TH AVE STE 15
HIALEAH FL
33016-5596
US

IV. Provider business mailing address

8051 W 24TH AVE STE 15
HIALEAH FL
33016-5596
US

V. Phone/Fax

Practice location:
  • Phone: 786-343-7772
  • Fax: 305-771-7550
Mailing address:
  • Phone: 786-343-7772
  • Fax: 305-771-7550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number9205
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SORANGEL GUTIERREZ
Title or Position: OWNER
Credential:
Phone: 786-343-7772