Provider Demographics
NPI:1952725848
Name:ELITE SOCIAL ADULT DAY CARE, LLC
Entity type:Organization
Organization Name:ELITE SOCIAL ADULT DAY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:YITZCHAK
Authorized Official - Middle Name:
Authorized Official - Last Name:CWEIBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-338-6300
Mailing Address - Street 1:251 E 5TH ST
Mailing Address - Street 2:UNIT 1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-2403
Mailing Address - Country:US
Mailing Address - Phone:718-338-6300
Mailing Address - Fax:347-710-1969
Practice Address - Street 1:525 NEPPERHAN AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-2857
Practice Address - Country:US
Practice Address - Phone:718-338-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care