MEDICARE: TREE OF LIFE 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	9209	FL

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	:	1871832725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TREE OF LIFE ADULT DAY CARE, INC.

Provider Business Mailing Address
First Line	:	8901 SW 157TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-1102
Country	:	US
Telephone Number	:	305-382-0111
Fax Number	:	305-382-6264

Provider Business Practice Location Address
First Line	:	8901 SW 157TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-1102
Country	:	US
Telephone Number	:	305-382-0111
Fax Number	:	305-382-6264

Authorized Official
Title or Position	:	OWNER
Name	:	YAIMA HERRERA
Credential	:
Telephone Number	:	305-525-1091

Provider Enumeration Date	:	02/12/2013
Last Update Date	:	09/30/2025

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