Provider Demographics
NPI:1003248386
Name:SUNSHINE ADULT SOCIAL CENTER CORP
Entity Type:Organization
Organization Name:SUNSHINE ADULT SOCIAL CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARKADY
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAVULYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-642-0395
Mailing Address - Street 1:130 OCEANA DR W
Mailing Address - Street 2:UNIT PH2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6998
Mailing Address - Country:US
Mailing Address - Phone:917-567-0235
Mailing Address - Fax:
Practice Address - Street 1:1241 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10474-5336
Practice Address - Country:US
Practice Address - Phone:917-567-0235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-08
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care