Healthcare Provider Details

I. General information

NPI: 1033974902
Provider Name (Legal Business Name): MY GOOD LIFE ADULT DAYCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2024
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28852 S DIXIE HWY
HOMESTEAD FL
33033
US

IV. Provider business mailing address

28852 S DIXIE HWY
HOMESTEAD FL
33033
US

V. Phone/Fax

Practice location:
  • Phone: 786-410-5666
  • Fax: 305-675-2866
Mailing address:
  • Phone: 786-410-5666
  • Fax: 305-675-2866

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: SANTIAGO OLIVIA PEREZ
Title or Position: OWNER
Credential:
Phone: 786-973-0302