MEDICARE: CENTURY GARDEN 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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1427980036
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTURY GARDEN LLC

Provider Business Mailing Address
First Line	:	18140 NW 90TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-6555
Country	:	US
Telephone Number	:	786-521-3889
Fax Number	:

Provider Business Practice Location Address
First Line	:	18140 NW 90TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-6555
Country	:	US
Telephone Number	:	786-521-3889
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KENNETH R CAIRO
Credential	:
Telephone Number	:	786-521-3889

Provider Enumeration Date	:	05/30/2026
Last Update Date	:	05/30/2026

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Directions to “CENTURY GARDEN LLC ” Practice Location

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