Provider Demographics
NPI:1083128037
Name:YSAD LLC
Entity Type:Organization
Organization Name:YSAD LLC
Other - Org Name:YORKTOWN SOCIAL ADULT DAYCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:YEHUDAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WALDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-597-7600
Mailing Address - Street 1:20 WOOD CT
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-3108
Mailing Address - Country:US
Mailing Address - Phone:914-597-7600
Mailing Address - Fax:
Practice Address - Street 1:2300 CATHERINE ST
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-7231
Practice Address - Country:US
Practice Address - Phone:914-597-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care