Organization Active NPI

Premier Social Adult Day Services

  • Adult Day Care Clinic/Center
  • Hempstead, NY
National Provider Identifier
1023473188
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
PREMIER SOCIAL ADULT DAY SERVICES
Practice address
115 Fulton Ave
Hempstead, NY 11550-3706
Phone
(516) 280-8111
Fax
(516) 280-4907
NPI assigned
Dec 16, 2015
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Rakesh Mehta
Title
President/Ceo
Phone
(607) 232-2834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NY Primary

Addresses

Primary practice location

115 Fulton Ave
Hempstead, NY 11550-3706

Mailing address

115 Fulton Ave
Hempstead, NY 11550-3706
Phone (516) 280-8111

Other identifiers 1

IdentifierTypeStateIssuer
20150106BOtherNYINCORPORATED VILLAGE OF HEMPSTEAD LICENSE

National Provider Directory

National Provider Directory

Locations

115 Fulton Ave
Hempstead, NY 11550
Phone (516) 280-8111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1023473188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503706",
            "telephone_number": "516-280-8111",
            "fax_number": "516-280-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503706",
            "telephone_number": "516-280-8111",
            "fax_number": "516-280-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SOCIAL ADULT DAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "607-232-2834",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INCORPORATED VILLAGE OF HEMPSTEAD LICENSE",
            "identifier": "20150106B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.