MEDICARE: XCLUSIVE SENIOR DAY CARE CENTER, INC

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	9102	FL

General Provider Information

NPI Number	:	1194035980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XCLUSIVE SENIOR DAY CARE CENTER, INC

Provider Business Mailing Address
First Line	:	12975 W OKEECHOBEE RD UNITS 1-4
Second Line	:
City	:	HIALEAH GDNS
State	:	FL
Zip	:	33018-6024
Country	:	US
Telephone Number	:	305-820-0805
Fax Number	:	305-820-0806

Provider Business Practice Location Address
First Line	:	12975 W OKEECHOBEE RD UNITS 1-4
Second Line	:
City	:	HIALEAH GDNS
State	:	FL
Zip	:	33018-6024
Country	:	US
Telephone Number	:	305-820-0805
Fax Number	:	305-820-0806

Authorized Official
Title or Position	:	OWNER
Name	:	YURYSAN RIOS RAMIREZ
Credential	:
Telephone Number	:	305-820-0805

Provider Enumeration Date	:	10/14/2010
Last Update Date	:	03/16/2026

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