Provider Demographics
NPI:1912337155
Name:US1 SOCIAL DAY CARE CENTER INC
Entity Type:Organization
Organization Name:US1 SOCIAL DAY CARE CENTER INC
Other - Org Name:US1 SOCIAL DAY CARE CENTER INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:O.M
Authorized Official - Prefix:
Authorized Official - First Name:JIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JIANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-566-1666
Mailing Address - Street 1:429 SUTTER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-8138
Mailing Address - Country:US
Mailing Address - Phone:718-566-1666
Mailing Address - Fax:
Practice Address - Street 1:429 SUTTER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-8138
Practice Address - Country:US
Practice Address - Phone:718-566-1666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:US1 SOCIAL DAY CARE CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY261QA0600XOtherADULT DAY CARE