Organization Active NPI

Fiesta Adult Daycare LLC

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1306192042
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FIESTA ADULT DAYCARE LLC
Practice address
76 West Brighton Ave, Suite 202
Brooklyn, NY 11224
Phone
(718) 996-0456
Fax
(718) 228-8999
NPI assigned
Jul 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Mrs. Tatyana Elberg
Title
Administrator
Phone
(917) 865-6602

Specialties & licenses 1

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

Addresses

Primary practice location

76 West Brighton Ave, Suite 202
Brooklyn, NY 11224

Mailing address

76 West Brighton Ave, Suite 202
Brooklyn, NY 11224
Phone (718) 996-0456

National Provider Directory

National Provider Directory
Tax ID family
Fiesta Adult Daycare 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.

Locations

76 W Brighton Ave
Ste 202
Brooklyn, NY 11224
Phone (718) 996-0456

1777 Broadway
Brooklyn, NY 11207

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1306192042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 WEST BRIGHTON AVE, SUITE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11224",
            "telephone_number": "718-996-0456",
            "fax_number": "718-228-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 WEST BRIGHTON AVE, SUITE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11224",
            "telephone_number": "718-996-0456",
            "fax_number": "718-228-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIESTA ADULT DAYCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "ELBERG",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "917-865-6602",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 Nov 28, 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.