Provider Demographics
NPI:1679011159
Name:A BETTER LIFE ADULT DAY CARE, INC
Entity Type:Organization
Organization Name:A BETTER LIFE ADULT DAY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:LAZARO
Authorized Official - Middle Name:
Authorized Official - Last Name:CEPEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-999-4945
Mailing Address - Street 1:8313 W HILLSBOROUGH AVE
Mailing Address - Street 2:BUILDING 400
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-3816
Mailing Address - Country:US
Mailing Address - Phone:813-999-4945
Mailing Address - Fax:813-898-8287
Practice Address - Street 1:8313 W HILLSBOROUGH AVE
Practice Address - Street 2:BUILDING 400
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-3816
Practice Address - Country:US
Practice Address - Phone:813-999-4945
Practice Address - Fax:813-898-8287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA0600X
FL9381311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home