Diamond Years Adult Medical Day Care Center LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

DIAMOND YEARS ADULT MEDICAL DAY CARE CENTER LLC

Practice address

360 West Clinton Street
Haledon, NJ 07508

Phone

(973) 942-4111

Fax

(973) 942-0111

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Eugena Kim

Title

Administrator

Phone

(973) 942-4111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1508214099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 WEST CLINTON STREET",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "07508",
            "telephone_number": "973-942-4111",
            "fax_number": "973-942-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 WEST CLINTON STREET",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "07508",
            "telephone_number": "973-942-4111",
            "fax_number": "973-942-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND YEARS ADULT MEDICAL DAY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUGENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-942-4111"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Haledon, NJ
• 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 May 25, 2016; 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.