Organization Active NPI

La Vida Adult Social Care Center, LLC

  • Adult Day Care Clinic/Center
  • New York, NY
National Provider Identifier
1255775771
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LA VIDA ADULT SOCIAL CARE CENTER, LLC
Practice address
5030 Broadway
Suite # 804
New York, NY 10034-1609
Phone
(917) 688-1543
Fax
(917) 688-1542
NPI assigned
Apr 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Mr. Vladislav M. Tolchev
Title
Member-Manager
Phone
(917) 688-1543

Specialties & licenses 1

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

Addresses

Primary practice location

5030 Broadway
Suite # 804
New York, NY 10034-1609

Mailing address

5030 Broadway
Suite #804
New York, NY 10034-1609
Phone (917) 688-1543

National Provider Directory

National Provider Directory

Locations

5030 Broadway
Ste 804
New York, NY 10034
Phone (917) 688-1543

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1255775771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY",
            "address_2": "SUITE #804",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341609",
            "telephone_number": "917-688-1543",
            "fax_number": "917-688-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY",
            "address_2": "SUITE # 804",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341609",
            "telephone_number": "917-688-1543",
            "fax_number": "917-688-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VIDA ADULT SOCIAL CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "TOLCHEV",
        "authorized_official_first_name": "VLADISLAV",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "917-688-1543",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.