Organization Active NPI

Fresh Meadows Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Fresh Meadows, NY
National Provider Identifier
1447712625
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FRESH MEADOWS ADULT DAY CARE LLC
Practice address
18108 Union Tpke
Fresh Meadows, NY 11366-1621
Phone
(718) 594-4988
NPI assigned
Apr 5, 2019
Last updated
Apr 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Authorized official

Name
Adam Yung
Title
Program Director
Phone
(718) 594-4988

Specialties & licenses 1

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

Addresses

Primary practice location

18108 Union Tpke
Fresh Meadows, NY 11366-1621

Mailing address

18108 Union Tpke
Fresh Meadows, NY 11366-1621
Phone (718) 594-4988

National Provider Directory

National Provider Directory

Locations

18108 Union Tpke
Fresh Meadows, NY 11366
Phone (718) 594-4988

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1447712625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18108 UNION TPKE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661621",
            "telephone_number": "718-594-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18108 UNION TPKE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661621",
            "telephone_number": "718-594-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH MEADOWS ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "YUNG",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "718-594-4988"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.