Provider Demographics
NPI:1275278137
Name:NORTH AMERICA ADULT DAY CARE LLC
Entity Type:Organization
Organization Name:NORTH AMERICA ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEI WOON
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-445-0750
Mailing Address - Street 1:16823 POWELLS COVE BLVD UNIT 12
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11357-1543
Mailing Address - Country:US
Mailing Address - Phone:718-445-0750
Mailing Address - Fax:
Practice Address - Street 1:13225 POPLE AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4406
Practice Address - Country:US
Practice Address - Phone:718-445-0750
Practice Address - Fax:718-445-0803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care