Healthcare Provider Details

I. General information

NPI: 1861080871
Provider Name (Legal Business Name): JOYFUL HEART ADULT DAY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 06/29/2021
Certification Date: 06/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12201 PEMBROKE RD
PEMBROKE PINES FL
33025-1725
US

IV. Provider business mailing address

12201 PEMBROKE RD
PEMBROKE PINES FL
33025-1725
US

V. Phone/Fax

Practice location:
  • Phone: 754-210-3374
  • Fax: 954-362-4923
Mailing address:
  • Phone: 754-210-3374
  • Fax: 954-362-4923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CAROL L TORREZ
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 786-718-3546