Sanford Home for Adults LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SANFORD HOME FOR ADULTS LLC

Practice address

14040 Sanford Ave
Flushing, NY 11355-2556

Phone

(718) 353-1400

NPI assigned

Oct 16, 2020

Last updated

Oct 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Grajales

Title

Project Manager

Phone

(347) 988-4535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1518565944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 60TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 SANFORD AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552556",
            "telephone_number": "718-353-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD HOME FOR ADULTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "GRAJALES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "347-988-4535"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanford Dental P.C.
• Sanford Endoscopy PLLC
• Sanford Family Dental Care, P.C.
• Sanford Family Medical Practice PC
• Sanford Home Care
• Sanford Medical Care, PLLC
• Sanford NP in Adult Health PC
• Sanford Pharmacy, Inc
• Sanford Physical Therapy and Acup PLLC
• Sang Kee Pahk MD PC

• Adult Care Home Facility in Flushing, NY
• Providers in Flushing, NY by specialty
• Adult Care Home Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.