Provider Demographics
NPI:1093827313
Name:HAPPY TIMES ADULT DAY CARE CENTER
Entity Type:Organization
Organization Name:HAPPY TIMES ADULT DAY CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELBA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-805-1040
Mailing Address - Street 1:50 W 29TH ST STE A B
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-5736
Mailing Address - Country:US
Mailing Address - Phone:305-805-1040
Mailing Address - Fax:305-805-0999
Practice Address - Street 1:50 W 29TH ST STE A B
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-5736
Practice Address - Country:US
Practice Address - Phone:305-805-1040
Practice Address - Fax:305-805-0999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8835261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL676142900Medicaid