MEDICARE: ADA SENIOR CARE

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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154924496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADA SENIOR CARE

Provider Business Mailing Address
First Line	:	12260 SW 8TH ST STE 153
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33184-1508
Country	:	US
Telephone Number	:	786-668-5757
Fax Number	:

Provider Business Practice Location Address
First Line	:	12260 SW 8TH ST STE 153
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33184-1508
Country	:	US
Telephone Number	:	786-668-5757
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAVIER NARANJO
Credential	:
Telephone Number	:	786-719-5820

Provider Enumeration Date	:	11/19/2020
Last Update Date	:	06/16/2021

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Directions to “ADA SENIOR CARE ” Practice Location

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