SAN JUDAS TADEO CADC (NPI# 1700922416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700922416 |
| Entity Type | Organization |
| Organization Name | SAN JUDAS TADEO CADC |
| Practice Address |
15628 Sw 72 Street Miami FL 33193 |
| Practice Telephone | 3054080077 |
| Practice Fax Number | 3054087737 |
| Mailing Telephone | 3054080077 |
| Mailing Fax Number | 3054087737 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. BETTY DRAGO (OWNER PRESIDENT) |
| Authorized Official Telephone | 3054080077 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
9034 | FL | Ambulatory Health Care Facilities |
| Street Address |
15628 SW 72 STREET |
| City | MIAMI |
| State | FL |
| Zip Code | 33193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538335 | Wendy Sanjurjo Del Hierro I | Behavior Technician | 15336 Sunset Dr, Apt 1011, Miami, FL 33193 | 2020-11-04 |
| 1255971446 | A&o Transport Solution LLC | Non-emergency Medical Transport (VAN) | 15791 Sw 85th St, Miami, FL 33193 | 2020-01-15 |
| 1205471687 | Senia V Bustillo Od Pa | Optometrist | 8765 Sw 165th Avenue, Suite 107, Miami, FL 33193 | 2019-11-09 |
| 1104468925 | Olga Delia Rivera Borrero | Behavior Technician | 8116 Sw 153 Pl, Miami, FL 33193 | 2019-10-14 |
| 1174171672 | Elaine Canedo | Behavior Technician | 8261 Sw 157th Ave, Unit 506, Miami, FL 33193 | 2019-08-28 |
| 1881175834 | Nelson Rivero | Nurse Practitioner | 16167 Sw 61st Ln, Miami, FL 33193 | 2018-08-28 |
| 1851881254 | Leonardo Anoceto | Behavior Technician | 15635 Sw 74 Circle Dr Apt 15, Miami Dade, FL 33193 | 2018-05-11 |
| 1902394521 | Hiala Maday Compta Perez | Nurse Practitioner | 15475 Sw 80 St Apt 102, Miami, FL 33193 | 2018-04-30 |
| 1417453200 | Magnis Reyes | Behavior Technician | 15455 Sw 75th Circle Ln, Miami, FL 33193 | 2018-04-02 |
| 1356843841 | Melissa Anne Taylor | Counselor | 8785 Sw 165 Ave Ste 103, Miami, FL 33193 | 2018-03-01 |
| Find all providers in zip 33193 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548019 | Renacer Adult Day Care LLC | Clinic/Center | 1968 Nw 7th St, Miami, FL 33125-3411 | 2020-11-08 |
| 1487254157 | Universal Adult Day Care Inc | Clinic/Center | 10174 W Flagler St, Miami, FL 33174-1830 | 2020-10-30 |
| 1710514229 | Quiereme Mucho Adult Day Care Corp | Clinic/Center | 8410 W Flagler St Ste 101-102, Miami, FL 33144-2092 | 2020-03-25 |
| 1467086124 | My Parent's House Inc. | Clinic/Center | 9765 Sw 72nd St, Miami, FL 33173-4615 | 2020-03-02 |
| 1437789062 | The Golden Years @ Home | Clinic/Center | 3536 W Flagler St, Miami, FL 33135-1028 | 2020-01-23 |
| 1376181388 | Live In Joy Adult Day Care Corp | Clinic/Center | 3001 Nw 7th St, Miami, FL 33125-4203 | 2019-12-20 |
| 1023653565 | La Vida Es Bella Adult Day Care LLC | Clinic/Center | 1515 Sw 67th Ave, Miami, FL 33144-5514 | 2019-11-07 |
| 1184268146 | Mercedes Gazquez | Clinic/Center | 1560 Sw 139th Ave, Miami, FL 33184-2711 | 2019-11-03 |
| 1497313597 | New Life Adult Day Care Corp. | Clinic/Center | 22081 S Dixie Hwy, Miami, FL 33170-2835 | 2019-06-03 |
| 1770045494 | La Edad Prodigiosa Inc | Clinic/Center | 18900 Sw 106th Ave Ste 101-102, Miami, FL 33157-7697 | 2019-04-02 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.