Active NPI
Elim Adult Daycare Center Inc
- Health Maintenance Organization
- Flushing, NY
National Provider Identifier
1386060705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- ELIM ADULT DAYCARE CENTER INC
- Practice address
- 4565 162ND St
Flushing, NY 11358-3157 - Phone
- (718) 938-1777
- NPI assigned
- Mar 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Man H. Lee
- Title
- Executive Officer
- Phone
- (718) 938-1777
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary | ||
| Preferred Provider Organization | 305R00000X |
Addresses
Primary practice location
4565 162ND St
Flushing, NY 11358-3157
Mailing address
4565 162ND St
Flushing, NY 11358-3157
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394409600000",
"number": "1386060705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4565 162ND ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113583157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4565 162ND ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113583157",
"telephone_number": "718-938-1777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIM ADULT DAYCARE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-10",
"last_updated": "2014-03-10",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "MAN",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "EXECUTIVE OFFICER",
"authorized_official_telephone_number": "718-938-1777"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.