Provider Demographics
NPI:1205247756
Name:APEX ADULT DAY CARE SERVICES, LLC
Entity type:Organization
Organization Name:APEX ADULT DAY CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAWERE
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA, DPT, MD
Authorized Official - Phone:917-584-6777
Mailing Address - Street 1:45 BLUEBIRD HILL CT
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-4021
Mailing Address - Country:US
Mailing Address - Phone:917-584-6777
Mailing Address - Fax:718-228-6927
Practice Address - Street 1:1175 FINDLAY AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-4182
Practice Address - Country:US
Practice Address - Phone:718-767-1967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care