Healthcare Provider Details

I. General information

NPI: 1245446210
Provider Name (Legal Business Name): LAS FLORES CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4960 NW 188TH TER
OPA LOCKA FL
33055-2436
US

IV. Provider business mailing address

4960 NW 188TH TER
OPA LOCKA FL
33055-2436
US

V. Phone/Fax

Practice location:
  • Phone: 305-622-8884
  • Fax: 305-621-7027
Mailing address:
  • Phone: 305-622-8884
  • Fax: 305-621-7027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number9285
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number9285
License Number StateFL

VIII. Authorized Official

Name: LOURDES CASTRO
Title or Position: PRESIDENT
Credential:
Phone: 305-622-8884