1013628593 NPI number — MAGNOLIA ADULT DAY CARE CENTER

Table of content: (NPI 1013628593)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013628593 NPI number — MAGNOLIA ADULT DAY CARE CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MAGNOLIA ADULT DAY CARE CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013628593
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/06/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17141 COLLINS AVE UNIT 1201
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUNNY ISLES BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33160-5363
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-934-1122
Provider Business Mailing Address Fax Number:
303-484-4024

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
850 SE 7TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DEERFIELD BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33441-4845
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-934-1122
Provider Business Practice Location Address Fax Number:
303-484-4024
Provider Enumeration Date:
12/06/2022

Additional Information

Authorized Official

Authorized Official Last Name:
RUVINS
Authorized Official First Name:
EDWARD
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
720-934-1122

Provider Taxonomy Codes

  • Taxonomy code: 261QA0600X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com