MEDICARE: PARADISE 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	9262	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9262	OTHER	FL	STATE LISCENCE

General Provider Information

NPI Number	:	1821427642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARADISE ADULT DAY CARE, INC

Provider Business Mailing Address
First Line	:	50 LINDSAY CT STE 101-106
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-5224
Country	:	US
Telephone Number	:	786-900-0090
Fax Number	:	786-900-0094

Provider Business Practice Location Address
First Line	:	50 LINDSAY CT
Second Line	:	SUITE 101-106
City	:	HIALEAH
State	:	FL
Zip	:	33010-5224
Country	:	US
Telephone Number	:	786-900-0090
Fax Number	:	786-900-0094

Authorized Official
Title or Position	:	OWNER
Name	:	CARLOS BATISTA VILLAR
Credential	:
Telephone Number	:	786-900-0090

Provider Enumeration Date	:	11/02/2013
Last Update Date	:	04/06/2026

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Directions to “PARADISE ADULT DAY CARE, INC ” Practice Location

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