NPIMap

Organization Active NPI

Springvalley Adult Home

  • Adult Day Care Clinic/Center
  • Nanuet, NY
National Provider Identifier
1366713208
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
620-F-071 Issued in NY
Legal business name
SPRINGVALLEY ADULT HOME
Practice address
184 S Pascack Rd
Nanuet, NY 10954-5981
Phone
(845) 623-5040
NPI assigned
Jan 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Mrs. Myrna A Daos
Title
Administrator
Phone
(845) 623-5040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 620-F-071 NY Primary

Addresses

Primary practice location

184 S Pascack Rd
Nanuet, NY 10954-5981

Mailing address

184 S Pascack Rd
Nanuet, NY 10954-5981
Phone (845) 623-5040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1366713208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 S PASCACK RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545981",
            "telephone_number": "845-623-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 S PASCACK RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545981",
            "telephone_number": "845-623-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGVALLEY ADULT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "DAOS",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "845-623-5040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "620-F-071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.