Healthcare Provider Details

I. General information

NPI: 1194012120
Provider Name (Legal Business Name): CARE ANGELS ADULT CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2011
Last Update Date: 08/01/2022
Certification Date: 08/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 SW 107TH AVE SUITE 27
MIAMI FL
33165-2470
US

IV. Provider business mailing address

2500 SW 107TH AVE SUITE 27
MIAMI FL
33165-2470
US

V. Phone/Fax

Practice location:
  • Phone: 305-553-4545
  • Fax: 305-553-4545
Mailing address:
  • Phone: 305-553-4545
  • Fax: 305-553-4545

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: YUNAYSI PADRON
Title or Position: OWNER
Credential:
Phone: 305-213-1100