Mount Vernon Adult Center LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MOUNT VERNON ADULT CENTER LLC

Practice address

22 E 1St St
Mount Vernon, NY 10550-3301

Phone

(718) 456-5000

NPI assigned

Jan 23, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Michael Berger

Title

Operator

Phone

(917) 969-1208

Specialties & licenses 1

Addresses

Other names 1

• Mount Vernon Adult Center Doing business as

Locations

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1275163792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11915 27TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541011",
            "telephone_number": "718-461-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 E 1ST ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503301",
            "telephone_number": "718-456-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT VERNON ADULT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "917-969-1208",
        "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": [
        {
            "organization_name": "Mount Vernon Adult Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Briana Tiffany Morrison, PMHNP
• Lynn Dale Morrison, RN OBGYN NURSE PRACT
• Diana Frances Morse, MD
• Zoe Morse
• Adele Moulton, LPN
• Mount Vernon City School District
• Mount Vernon Dialysis LLC
• Mount Vernon Eye Care
• Mount Vernon Hospital
• Mount Vernon Hospital

• Adult Day Care Clinic/Center in Mount Vernon, NY
• Providers in Mount Vernon, 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 Jan 23, 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.