Provider Demographics
NPI:1851893465
Name:TROPICAL PARADISE ADULT DAY CARE CENTER LLC
Entity Type:Organization
Organization Name:TROPICAL PARADISE ADULT DAY CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DMITRIY
Authorized Official - Middle Name:
Authorized Official - Last Name:GURGOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-470-4720
Mailing Address - Street 1:11275 SEA VIEW AVE
Mailing Address - Street 2:3G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11239-2714
Mailing Address - Country:US
Mailing Address - Phone:917-470-4720
Mailing Address - Fax:
Practice Address - Street 1:9343 104TH ST
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11416-1740
Practice Address - Country:US
Practice Address - Phone:917-470-4720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-28
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care