MEDICARE: MY BEST FAMILY ADULT DAY CARE, 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

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	:	1659040137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY BEST FAMILY ADULT DAY CARE, INC

Provider Business Mailing Address
First Line	:	10029 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-4623
Country	:	US
Telephone Number	:	786-314-1395
Fax Number	:	305-596-0244

Provider Business Practice Location Address
First Line	:	10029 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-4623
Country	:	US
Telephone Number	:	786-314-1395
Fax Number	:	305-596-0244

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	JOHN BLANCO
Credential	:
Telephone Number	:	786-314-1395

Provider Enumeration Date	:	09/08/2021
Last Update Date	:	09/08/2021

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