Grace Adult Daycare-Multiservice LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GRACE ADULT DAYCARE-MULTISERVICE LLC

Practice address

19011 Linden Blvd
Saint Albans, NY 11412-3346

Phone

(929) 433-0054

Fax

(929) 433-0055

NPI assigned

Jan 17, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Mackensdy DormeusNPI 1730848813

Title

Owner

Phone

(917) 392-6930

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mackensdy Dormeus

  • Adult Day Care Clinic/Center
  • Saint Albans, NY
  • NPI 1730848813
  NPD Authorized official

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1457002909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110614",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114110614",
            "telephone_number": "917-392-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19011 LINDEN BLVD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123346",
            "telephone_number": "929-433-0054",
            "fax_number": "929-433-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ADULT DAYCARE-MULTISERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "DORMEUS",
        "authorized_official_first_name": "MACKENSDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-392-6930",
        "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": []
}

• Ivan Gonzalez, D.P.M
• Aneka Amala Gopaulsingh
• Chanelle Gordon, FNP-C
• James Antonio Gordon, PH.D
• Gordon'S Cognitive Balance Center Inc
• Todd Brandon Graham
• Jessica Grant, OTR/L
• Genene Gray-Bercy
• Victoria Elizabeth Gray, FNP
• Greater New York Services

• Adult Day Care Clinic/Center in Saint Albans, NY
• Providers in Saint Albans, 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 Jan 17, 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.