Provider Demographics
NPI:1255851564
Name:FRIENDLY FAMILY ADULT DAY CARE
Entity Type:Organization
Organization Name:FRIENDLY FAMILY ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PASTINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-420-3676
Mailing Address - Street 1:1311 KINGS HWY FL 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1903
Mailing Address - Country:US
Mailing Address - Phone:646-420-3676
Mailing Address - Fax:
Practice Address - Street 1:1311 KINGS HWY
Practice Address - Street 2:3RD FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229
Practice Address - Country:US
Practice Address - Phone:646-420-3676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home