Forever US Social Adult Day Care, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

FOREVER US SOCIAL ADULT DAY CARE, INC

Practice address

80 Bruckner Blvd
Bronx, NY 10454-4492

Phone

(917) 891-8753

Fax

(347) 391-2112

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Gene Benfeld

Title

Program Director

Phone

(917) 891-8753

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1043959414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BRUCKNER BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544492",
            "telephone_number": "917-891-8753",
            "fax_number": "347-391-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BRUCKNER BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544492",
            "telephone_number": "917-891-8753",
            "fax_number": "347-391-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER US SOCIAL ADULT DAY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "BENFELD",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "917-891-8753",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessalyn Nicole Forella, DDS
• Heather Lynn Foreman, LMSW
• Soraya Forero, PTA
• Rhonda Forest, M.D.
• Stephen John Forest, M.D.
• Forever Young II LLC
• Forever Young Social Adult Day Care, Inc
• Forgie Nurse Practitioner in Psychiatry Health Services PC
• Mary Forkuoh
• Philip Forlenza, PHARMD

• Adult Day Care Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.