Healthcare Provider Details

I. General information

NPI: 1629947536
Provider Name (Legal Business Name): HEART ANGELS ADULT DAYCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7520 W WATERS AVE STE 1516
TAMPA FL
33615-1599
US

IV. Provider business mailing address

7520 W WATERS AVE STE 1516
TAMPA FL
33615-1599
US

V. Phone/Fax

Practice location:
  • Phone: 813-995-1189
  • Fax:
Mailing address:
  • Phone: 813-995-1189
  • Fax:

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: RAFAEL LUIS ACOSTA
Title or Position: OWNER
Credential:
Phone: 813-995-1189