Provider Demographics
NPI:1912250218
Name:COMFORT ADULT DAY CARE CENTER, INC.
Entity Type:Organization
Organization Name:COMFORT ADULT DAY CARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:YUE
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR
Authorized Official - Phone:718-213-9882
Mailing Address - Street 1:10005 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-4880
Mailing Address - Country:US
Mailing Address - Phone:718-651-5700
Mailing Address - Fax:718-732-2538
Practice Address - Street 1:100-05 ROOSEVELT AVE.
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368
Practice Address - Country:US
Practice Address - Phone:718-651-5700
Practice Address - Fax:718-732-2538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-24
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0000000000000000311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home