Brightside Adult Center Corp.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

BRIGHTSIDE ADULT CENTER CORP.

Practice address

2801 Emmons Ave
Brooklyn, NY 11235-2205

Phone

(917) 319-8392

Fax

(718) 979-0415

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Hisham Hadidi

Title

President

Phone

(917) 319-8392

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1306323605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 JACQUES AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063026",
            "telephone_number": "917-319-8392",
            "fax_number": "718-979-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 EMMONS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352205",
            "telephone_number": "917-319-8392",
            "fax_number": "718-979-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE ADULT CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "HADIDI",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-319-8392",
        "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": []
}

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• Adult Day Care Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, 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 19, 2018; 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.