Healthcare Provider Details

I. General information

NPI: 1164832911
Provider Name (Legal Business Name): ADULT HOPE DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2014
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12039 SW 132ND CT STE 12-13
MIAMI FL
33186-4783
US

IV. Provider business mailing address

12039 SW 132ND CT STE 12-13
MIAMI FL
33186-4783
US

V. Phone/Fax

Practice location:
  • Phone: 786-701-2557
  • Fax: 786-592-2945
Mailing address:
  • Phone: 786-701-2557
  • Fax: 786-592-2945

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: MILEIDYS GONZALEZ
Title or Position: OWNER
Credential:
Phone: 786-318-0514