1568041358 NPI number — AMERICAN ADULT DAY CARE CENTER, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568041358 NPI number — AMERICAN ADULT DAY CARE CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN ADULT DAY CARE CENTER, INC.
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:
1568041358
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/07/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
132-41 41 ROAD
Provider Second Line Business Mailing Address:
GROUND FLOOR
Provider Business Mailing Address City Name:
FLUSHING
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11355
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-708-3808
Provider Business Mailing Address Fax Number:
718-445-6688

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
441 E. 155TH STREET
Provider Second Line Business Practice Location Address:
GROUND FLOOR
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10455-1045
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-708-3808
Provider Business Practice Location Address Fax Number:
718-445-6688
Provider Enumeration Date:
04/07/2021

Additional Information

Authorized Official

Authorized Official Last Name:
LO
Authorized Official First Name:
ANNA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
646-708-3808

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)





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