Provider Demographics
NPI:1952569402
Name:THE BEYDA ADULT DAY CARE CENTER, LLC
Entity Type:Organization
Organization Name:THE BEYDA ADULT DAY CARE CENTER, LLC
Other - Org Name:SARAHCARE OF CORAL SPRINGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BEYDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-743-0003
Mailing Address - Street 1:754 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-7006
Mailing Address - Country:US
Mailing Address - Phone:954-341-7788
Mailing Address - Fax:954-743-0003
Practice Address - Street 1:754 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071
Practice Address - Country:US
Practice Address - Phone:954-743-0003
Practice Address - Fax:954-743-0004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9070261QA0600X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000896200Medicaid