Provider Demographics
NPI:1194012120
Name:CARE ANGELS ADULT CENTER, INC
Entity Type:Organization
Organization Name:CARE ANGELS ADULT CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YUNAYSI
Authorized Official - Middle Name:
Authorized Official - Last Name:PADRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-213-1100
Mailing Address - Street 1:2500 SW 107TH AVE
Mailing Address - Street 2:SUITE 27
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2470
Mailing Address - Country:US
Mailing Address - Phone:305-553-4545
Mailing Address - Fax:305-553-4545
Practice Address - Street 1:2500 SW 107TH AVE
Practice Address - Street 2:SUITE 27
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2470
Practice Address - Country:US
Practice Address - Phone:305-553-4545
Practice Address - Fax:305-553-4545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-28
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9169OtherAHCA
FL004238200Medicaid