Avery Adult Day Care Center Inc

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

AVERY ADULT DAY CARE CENTER INC

Practice address

13226 Avery Ave
Flushing, NY 11355-4954

Phone

(516) 717-5588

NPI assigned

Sep 28, 2022

Organization subpart

No

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

Authorized official

Name

Keke Fang

Title

Director

Phone

(516) 717-5588

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1104540632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 FULLER PL FL 4",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13226 AVERY AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554954",
            "telephone_number": "516-717-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY ADULT DAY CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "KEKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-717-5588"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.