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NPI Code Detail

MEDICARE: J & C ADULT DAY CARE INC.

MEDICARE: J & C 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
1261QA0600XAdult Day Care Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number : 1780097865
Entity Type Code : Organization
Provider Name (Legal Business Name) : J & C ADULT DAY CARE INC.
Provider Business Mailing Address
First Line : 18505 NW 75TH PL
Second Line : SUITE #114
City : HIALEAH
State : FL
Zip : 33015-2961
Country : US
Telephone Number : 305-202-3676
Fax Number : 305-675-0144
Provider Business Practice Location Address
First Line : 18505 NW 75TH PL
Second Line : SUITE #114
City : HIALEAH
State : FL
Zip : 33015-2961
Country : US
Telephone Number : 305-202-3676
Fax Number : 305-675-0144
Authorized Official
Title or Position : OWNER
Name : ANTONIO MARRERO
Credential :
Telephone Number : 561-480-7557
Provider Enumeration Date : 06/06/2014
Last Update Date : 04/03/2017

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