Organization Active NPI

Watertown Adult Social Daycare Inc

  • Adult Day Care Clinic/Center
  • Watertown, NY
National Provider Identifier
1205518610
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
WATERTOWN ADULT SOCIAL DAYCARE INC
Practice address
144 Eastern Blvd Ste 2
Watertown, NY 13601-3126
Phone
(646) 241-6579
NPI assigned
Aug 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Chun Wong
Title
Manager
Phone
(646) 241-6579

Specialties & licenses 1

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

Addresses

Primary practice location

144 Eastern Blvd Ste 2
Watertown, NY 13601-3126

Mailing address

144 Eastern Blvd Ste 2
Watertown, NY 13601-3126

National Provider Directory

National Provider Directory

Locations

144 Eastern Blvd
Ste 2
Watertown, NY 13601
Phone (646) 241-6579

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1205518610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 EASTERN BLVD STE 2",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 EASTERN BLVD STE 2",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013126",
            "telephone_number": "646-241-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERTOWN ADULT SOCIAL DAYCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "CHUN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-241-6579"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.