Provider Demographics
NPI:1235884933
Name:STAR SOCIAL ADULT DAY CARE, INC
Entity Type:Organization
Organization Name:STAR SOCIAL ADULT DAY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:SARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-225-8718
Mailing Address - Street 1:25 POST AVE
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-4244
Mailing Address - Country:US
Mailing Address - Phone:516-225-8718
Mailing Address - Fax:
Practice Address - Street 1:25 POST AVE
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-4244
Practice Address - Country:US
Practice Address - Phone:516-225-8718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care