Elder Care Center, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ELDER CARE CENTER, INC

Doing business as

Graceville Seniors Club

Practice address

20 Hempstead Tpke
West Hempstead, NY 11552-2162

Phone

(516) 743-9000

Fax

(516) 743-9004

NPI assigned

Jan 4, 2013

Last updated

Jan 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Malik N. Abid

Title

President & C.E.O

Phone

(516) 743-9000

Specialties & licenses 1

Addresses

Other names 1

• Graceville Seniors Club Doing business as

Locations

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1114264538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HEMPSTEAD TPKE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522162",
            "telephone_number": "516-743-9000",
            "fax_number": "516-743-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HEMPSTEAD TPKE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522162",
            "telephone_number": "516-743-9000",
            "fax_number": "516-743-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "ABID",
        "authorized_official_first_name": "MALIK",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT & C.E.O",
        "authorized_official_telephone_number": "516-743-9000"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graceville Seniors Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in West Hempstead, NY
• Providers in West Hempstead, NY by specialty
• Adult Care Home Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.