Provider Demographics
NPI:1043959414
Name:FOREVER US SOCIAL ADULT DAY CARE, INC
Entity Type:Organization
Organization Name:FOREVER US SOCIAL ADULT DAY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-891-8753
Mailing Address - Street 1:80 BRUCKNER BLVD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10454-4492
Mailing Address - Country:US
Mailing Address - Phone:917-891-8753
Mailing Address - Fax:347-391-2112
Practice Address - Street 1:80 BRUCKNER BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10454-4492
Practice Address - Country:US
Practice Address - Phone:917-891-8753
Practice Address - Fax:347-391-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care