Healthcare Provider Details

I. General information

NPI: 1922743830
Provider Name (Legal Business Name): CANITAS II ADULT DAY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 10/21/2023
Certification Date: 10/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1290 W 49TH ST STE 2
HIALEAH FL
33012-3297
US

IV. Provider business mailing address

413 NE VAN LOON LN STE 110
CAPE CORAL FL
33909-2528
US

V. Phone/Fax

Practice location:
  • Phone: 305-364-5549
  • Fax: 305-364-5592
Mailing address:
  • Phone: 239-652-3183
  • Fax: 239-673-6141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TANIA BATISTA
Title or Position: PRESIDENT
Credential:
Phone: 786-661-0242