Provider Demographics
NPI:1770027153
Name:ANY SWEET HOME ADULT DAY CARE
Entity Type:Organization
Organization Name:ANY SWEET HOME ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MIJARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-426-2355
Mailing Address - Street 1:4810 SW 8 STREET
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134
Mailing Address - Country:US
Mailing Address - Phone:786-314-2760
Mailing Address - Fax:786-518-3453
Practice Address - Street 1:14285 SW 42 STREET SUITE 202
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175
Practice Address - Country:US
Practice Address - Phone:786-314-2760
Practice Address - Fax:786-518-3453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-05
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9374261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care