Organization Active NPI

Wonderful Life Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1164766770
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
WONDERFUL LIFE ADULT DAY CARE LLC
Practice address
2034 Atlantic Ave
Brooklyn, NY 11233-3163
Phone
(929) 234-3666
Fax
(929) 234-3664
NPI assigned
Nov 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Authorized official

Name
Irena Zeylikman
Title
President
Phone
(929) 234-3666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

2034 Atlantic Ave
Brooklyn, NY 11233-3163

Mailing address

2034 Atlantic Ave
Brooklyn, NY 11233-3163
Phone (929) 234-3666

National Provider Directory

National Provider Directory
Tax ID family
Beautiful Life II Adult Social Day Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1164766770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333163",
            "telephone_number": "929-234-3666",
            "fax_number": "929-234-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333163",
            "telephone_number": "929-234-3666",
            "fax_number": "929-234-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFUL LIFE ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "ZEYLIKMAN",
        "authorized_official_first_name": "IRENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-234-3666"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.