Provider Demographics
NPI:1649891706
Name:PROMISING ADULT DAY CARE LLC
Entity type:Organization
Organization Name:PROMISING ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANY
Authorized Official - Middle Name:
Authorized Official - Last Name:GHAZY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-262-4949
Mailing Address - Street 1:540 STRAIGHT ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503-3239
Mailing Address - Country:US
Mailing Address - Phone:973-833-3000
Mailing Address - Fax:973-833-2300
Practice Address - Street 1:540 STRAIGHT ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-3239
Practice Address - Country:US
Practice Address - Phone:973-833-3000
Practice Address - Fax:973-833-2300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care