Victory Blvd Social Day Care Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

VICTORY BLVD SOCIAL DAY CARE INC

Practice address

1975 Victory Blvd
Staten Island, NY 10314-3553

Phone

(646) 515-6898

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Lina Chen

Title

President

Phone

(646) 515-6898

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1114761129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143553",
            "telephone_number": "646-515-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143553",
            "telephone_number": "646-515-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY BLVD SOCIAL DAY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-515-6898"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Capuano LCSW PLLC
• Hector Rivera Victoriano, OTR/L
• Victory Ambulatroy Services, LLC
• Victory Behavioral Health Inc (Cardio Behavioral Health The Attention Deficit Worshop)
• Victory Blvd Medical Procedures PC
• Victory Dental PLLC
• Victory Family Pharmacy, LLC (The Apothecary Shoppe)
• Victory Internal Medicine, P.C.
• Victory Medical Group PLLC
• Victory Medical PLLC

• Adult Day Care Clinic/Center in Staten Island, NY
• Providers in Staten Island, 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 24, 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.