Provider Demographics
NPI:1417406869
Name:KANG HUA ADULT DAYCARE CENTER INC
Entity Type:Organization
Organization Name:KANG HUA ADULT DAYCARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KA-YEE
Authorized Official - Middle Name:
Authorized Official - Last Name:LP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-930-9688
Mailing Address - Street 1:4235 MAIN ST
Mailing Address - Street 2:SUITE 2G
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4235 MAIN ST
Practice Address - Street 2:SUITE 2G
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3956
Practice Address - Country:US
Practice Address - Phone:917-930-9688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home