Provider Demographics
NPI:1225675887
Name:AMERICA SOCIAL ADULT DAY CARE INC
Entity Type:Organization
Organization Name:AMERICA SOCIAL ADULT DAY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHVARTSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-289-9121
Mailing Address - Street 1:5635 HARRIS HILL RD STE 3
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-2897
Mailing Address - Country:US
Mailing Address - Phone:716-289-9121
Mailing Address - Fax:
Practice Address - Street 1:5635 HARRIS HILL RD STE 3
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-2897
Practice Address - Country:US
Practice Address - Phone:716-289-9121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center