Provider Demographics
NPI:1649635319
Name:ADULT DAY OF AVENTURA CORP
Entity type:Organization
Organization Name:ADULT DAY OF AVENTURA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SIGAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ADINYAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-350-7002
Mailing Address - Street 1:3575 NE207 STREET
Mailing Address - Street 2:B-6-A
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180
Mailing Address - Country:US
Mailing Address - Phone:786-350-7002
Mailing Address - Fax:
Practice Address - Street 1:3575 NE 207TH ST
Practice Address - Street 2:B-6-A
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3771
Practice Address - Country:US
Practice Address - Phone:786-350-7002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home