{
"Npi": {
"NPI": "1962806968",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "LIVING LIFE ADULT DAY CARE CORP.",
"ParentOrgTIN": null,
"OrgName": "LIVING LIFE ADULT DAY CARE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "12750 NW 17TH ST",
"SecondLineMailingAddress": "UNIT 107",
"MailingAddressCityName": "MIAMI",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33182",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-549-0948",
"MailingAddressFaxNumber": "800-536-9708",
"FirstLinePracticeLocationAddress": "12750 NW 17TH ST",
"SecondLinePracticeLocationAddress": "UNIT 107",
"PracticeLocationAddressCityName": "MIAMI",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33182",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-549-0948",
"PracticeLocationAddressFaxNumber": "800-536-9708",
"EnumerationDate": "10/20/2014",
"LastUpdateDate": "03/11/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PEREZ RODRIGUEZ",
"AuthorizedOfficialFirstName": "IVAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "786-389-8621",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": "9293",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}