Provider Demographics
NPI:1457653073
Name:LCC ADULT DAY CARE, LLC
Entity Type:Organization
Organization Name:LCC ADULT DAY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:FELIX
Authorized Official - Last Name:SOCARRAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:305-687-3800
Mailing Address - Street 1:1300 PALM AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-3427
Mailing Address - Country:US
Mailing Address - Phone:305-687-3800
Mailing Address - Fax:305-402-2304
Practice Address - Street 1:1300 PALM AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-3427
Practice Address - Country:US
Practice Address - Phone:305-687-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9100OtherADULT DAY CARE FACILITY