Good Faith Social Daycare

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GOOD FAITH SOCIAL DAYCARE

Practice address

1385 Bay St
Staten Island, NY 10305-3901

Phone

(718) 876-0900

NPI assigned

Jul 28, 2020

Organization subpart

No

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

Authorized official

Name

Kyth Trieu

Title

Administrator

Phone

(347) 302-7744

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1255940052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 BAY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053901",
            "telephone_number": "718-876-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 BAY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053901",
            "telephone_number": "718-876-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD FAITH SOCIAL DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "TRIEU",
        "authorized_official_first_name": "KYTH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "347-302-7744"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Maria Gonzalez, PTA
• Caitlin Gonzalo, MS, RN, FNP-BC
• Lori Gonzalo, RPA-C
• Good Care PT PC
• Good Faith Adult Day Care Inc
• Good Life Advancement and Development Inc
• Good Looking Optical Corp
• Mary E. Goodacre, M.A., CCCA
• Karen Goode
• Mark Goodenough, DDS, MD

• 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 Jul 28, 2020; 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.