Healthcare Provider Details

I. General information

NPI: 1508899766
Provider Name (Legal Business Name): CADC CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7944 SW 8TH ST # A
MIAMI FL
33144-4209
US

IV. Provider business mailing address

7944 SW 8TH ST
MIAMI FL
33144-4209
US

V. Phone/Fax

Practice location:
  • Phone: 305-269-6845
  • Fax: 305-269-6847
Mailing address:
  • Phone: 305-269-6845
  • Fax: 305-269-6847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License NumberF001
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number8976
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number8939
License Number StateFL

VIII. Authorized Official

Name: MS. YAILYN GIL VANDAMA
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-269-6845