Brooklyn Village Adult Day Care Center Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

BROOKLYN VILLAGE ADULT DAY CARE CENTER INC

Practice address

857 65TH Street
1 FL
Brooklyn, NY 11220

Phone

(718) 680-0303

Fax

(718) 680-0311

NPI assigned

Aug 28, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Baozhi Liu

Title

Owner

Phone

(917) 681-8999

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1124574371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 65TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11220",
            "telephone_number": "718-680-0303",
            "fax_number": "718-680-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 65TH STREET",
            "address_2": "1 FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11220",
            "telephone_number": "718-680-0303",
            "fax_number": "718-680-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN VILLAGE ADULT DAY CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "BAOZHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-681-8999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL ADULT DAY CARE",
            "identifier": "4965701",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.