Provider Demographics
NPI:1831933019
Name:PERFECT AGE ADULT DAY CARE
Entity type:Organization
Organization Name:PERFECT AGE ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMENA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAWAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-591-8396
Mailing Address - Street 1:19615 FOOTHILL AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11423-1413
Mailing Address - Country:US
Mailing Address - Phone:646-591-8396
Mailing Address - Fax:
Practice Address - Street 1:19615 FOOTHILL AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11423-1413
Practice Address - Country:US
Practice Address - Phone:646-591-8396
Practice Address - Fax:917-396-4115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home