Provider Demographics
NPI:1164653887
Name:A PLACE CALLED HOME, INC.
Entity Type:Organization
Organization Name:A PLACE CALLED HOME, INC.
Other - Org Name:MIAMI GARDENS ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-654-2865
Mailing Address - Street 1:838 NW 183RD ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4203
Mailing Address - Country:US
Mailing Address - Phone:305-654-2865
Mailing Address - Fax:305-249-7117
Practice Address - Street 1:838 NW 183RD ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4203
Practice Address - Country:US
Practice Address - Phone:305-654-2865
Practice Address - Fax:305-249-7117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9113311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)