Santa Barbara Social Club LLC
Clinic/Center, Adult Day Care in Cape Coral, FL. Organization (NPI-2).
Details
- NPI
- 1821758285
- Entity type
- Organization (NPI-2)
- Legal business name
- Santa Barbara Social Club LLC
- Organization subpart
- No
- Enumeration date
- Dec 28, 2021
- Certification date
- Dec 28, 2021
- Last updated
- Dec 28, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | – | – | Yes |
Practice location
2135 Santa Barbara Blvd Ste 106-108Cape Coral, FL 33991-4359
Phone 239-984-2916 · Fax 239-842-6787
Mailing address
9321 Sw 174th StPalmetto Bay, FL 33157-5716
Phone 786-479-2000 · Fax 239-842-6787
Authorized official
Boris L. Avila
President
7864792000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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