Provider Demographics
NPI:1609224799
Name:NORTH MIAMI ADULT DAY CARE CENTER.INC
Entity Type:Organization
Organization Name:NORTH MIAMI ADULT DAY CARE CENTER.INC
Other - Org Name:NORTH MIAMI ADULT DAY CARE CENTER .INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-796-5840
Mailing Address - Street 1:855 NE 130TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-4943
Mailing Address - Country:US
Mailing Address - Phone:305-796-5840
Mailing Address - Fax:305-846-9731
Practice Address - Street 1:855 NE 130TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-4943
Practice Address - Country:US
Practice Address - Phone:305-796-5840
Practice Address - Fax:305-846-9731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-30
Last Update Date:2016-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9351305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========Medicaid