Provider Demographics
NPI:1821507732
Name:U.S. SENIOR ADULT DAYARE INC.
Entity Type:Organization
Organization Name:U.S. SENIOR ADULT DAYARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-775-2722
Mailing Address - Street 1:9424 226TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-3803
Mailing Address - Country:US
Mailing Address - Phone:917-916-0703
Mailing Address - Fax:718-865-9195
Practice Address - Street 1:619 FULTON AVE
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-4553
Practice Address - Country:US
Practice Address - Phone:516-775-2722
Practice Address - Fax:718-865-9195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-22
Last Update Date:2017-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care