Provider Demographics
NPI:1467790667
Name:VIMINI LLC
Entity Type:Organization
Organization Name:VIMINI LLC
Other - Org Name:SEAGIRT ADULT DAY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHNEYDER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-664-0065
Mailing Address - Street 1:2028 SEAGIRT BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5915
Mailing Address - Country:US
Mailing Address - Phone:718-664-0065
Mailing Address - Fax:718-664-0065
Practice Address - Street 1:2028 SEAGIRT BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-5915
Practice Address - Country:US
Practice Address - Phone:718-664-0065
Practice Address - Fax:718-664-0065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-22
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care