ST JUDE ADULT DAY CARE LLC – NPI #1083986574
Clinic/Center

ST JUDE ADULT DAY CARE LLC is an AHC clinic located in MIAMI, FL. NPPES has assigned the NPI number 1083986574 to ST JUDE ADULT DAY CARE LLC on January 31, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 2 years ago on Apr 04, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST JUDE ADULT DAY CARE LLC below.

NPI Profile for
ST JUDE ADULT DAY CARE LLC

NPI Number
1083986574
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST JUDE ADULT DAY CARE LLC
Primary location
9740 S.W. 24TH STREET SECTION C
MIAMI, FL 33165
Phone: (305) 221-7005 Fax: (888) 959-1340
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LILIANNY CAMEJO
OWNER
Phone: (305) 484-3599
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)		 FL 9185

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.