Provider Demographics
NPI:1356613848
Name:SHEM HAR SINAI ADULT DAY CARES LLC
Entity type:Organization
Organization Name:SHEM HAR SINAI ADULT DAY CARES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUTISTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-606-0849
Mailing Address - Street 1:132-35 41ST ROAD
Mailing Address - Street 2:#CF 1A-1B
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:718-606-2544
Mailing Address - Fax:718-606-1077
Practice Address - Street 1:13235 41ST RD
Practice Address - Street 2:#CF 1A-1B
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4113
Practice Address - Country:US
Practice Address - Phone:718-606-2544
Practice Address - Fax:718-606-1077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-31
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care