MEDICARE: HEART ANGELS ADULT DAYCARE 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

General Provider Information

NPI Number	:	1629947536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART ANGELS ADULT DAYCARE INC

Provider Business Mailing Address
First Line	:	7520 W WATERS AVE STE 1516
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1599
Country	:	US
Telephone Number	:	813-995-1189
Fax Number	:

Provider Business Practice Location Address
First Line	:	7520 W WATERS AVE STE 1516
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1599
Country	:	US
Telephone Number	:	813-995-1189
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RAFAEL LUIS ACOSTA
Credential	:
Telephone Number	:	813-995-1189

Provider Enumeration Date	:	10/30/2025
Last Update Date	:	10/31/2025

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