Provider Demographics
NPI:1548978091
Name:SMILING AND GROWING OLDER CORP
Entity type:Organization
Organization Name:SMILING AND GROWING OLDER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YAIMILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALONSO RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-537-2091
Mailing Address - Street 1:13424 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2019
Mailing Address - Country:US
Mailing Address - Phone:305-974-5990
Mailing Address - Fax:305-724-0238
Practice Address - Street 1:13424 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2019
Practice Address - Country:US
Practice Address - Phone:305-974-5990
Practice Address - Fax:305-724-0238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care