Provider Demographics
NPI:1982962726
Name:BAO KANG ADULT DAYCARE CENTER INC.
Entity Type:Organization
Organization Name:BAO KANG ADULT DAYCARE CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GUANGJUN
Authorized Official - Middle Name:
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-939-1888
Mailing Address - Street 1:132-29 BLOSSOM AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2820
Mailing Address - Country:US
Mailing Address - Phone:718-939-1888
Mailing Address - Fax:347-542-3919
Practice Address - Street 1:132-29 BLOSSOM AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2820
Practice Address - Country:US
Practice Address - Phone:718-939-1888
Practice Address - Fax:347-542-3919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-30
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherEIN