MEDICARE: LAS MERCEDES ADULT DAY CARE V, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1033923719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAS MERCEDES ADULT DAY CARE V, LLC

Provider Business Mailing Address
First Line	:	6650 NW 57 ST
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33319
Country	:	US
Telephone Number	:	954-334-3120
Fax Number	:

Provider Business Practice Location Address
First Line	:	6650 NW 57 ST
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33319
Country	:	US
Telephone Number	:	954-334-3120
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CLARA RIVAS
Credential	:
Telephone Number	:	305-912-8595

Provider Enumeration Date	:	02/04/2025
Last Update Date	:	06/11/2026

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