Provider Demographics
NPI:1588015192
Name:EL PASEO SENIOR CARE CENTER, INC.
Entity Type:Organization
Organization Name:EL PASEO SENIOR CARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BARROS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-655-0939
Mailing Address - Street 1:1390 NW 7TH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-3704
Mailing Address - Country:US
Mailing Address - Phone:786-655-0939
Mailing Address - Fax:786-580-5979
Practice Address - Street 1:1390 NW 7TH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3704
Practice Address - Country:US
Practice Address - Phone:786-655-0939
Practice Address - Fax:786-580-5979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-24
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care