Family Adult Day Care LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

FAMILY ADULT DAY CARE LLC

Practice address

455 Meadow LN
Carlstadt, NJ 07072-3006

Phone

(845) 399-5544

Fax

(201) 526-0477

NPI assigned

Apr 9, 2019

Organization subpart

No

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

Authorized official

Name

Shani Madaminova

Title

Administrator

Phone

(201) 798-7600

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1437612215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 MEADOW LN",
            "city": "CARLSTADT",
            "state": "NJ",
            "postal_code": "070723006",
            "telephone_number": "845-399-5544",
            "fax_number": "201-526-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 MEADOW LN",
            "city": "CARLSTADT",
            "state": "NJ",
            "postal_code": "070723006",
            "telephone_number": "845-399-5544",
            "fax_number": "201-526-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "MADAMINOVA",
        "authorized_official_first_name": "SHANI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-798-7600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Vincent Deleasa, DC
• Owusu A. Duah-Elwis
• Ayda M. El-Shirbiny
• Tiania Melesia Ellis
• Joanne Lynn Emilianovitz
• Yamile Figueroa
• Isabella Flores
• Anna Gagarina
• Robby Mercado Gallardo
• Robert Gardner, MSACN

• Adult Day Care Clinic/Center in Carlstadt, NJ
• Providers in Carlstadt, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.