Organization Active NPI

Eagles Adult Day Inc

  • Adult Day Care Clinic/Center
  • Staten Island, NY
National Provider Identifier
1568023620
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
EAGLES ADULT DAY INC
Practice address
460 Midland Ave
Staten Island, NY 10306-5104
Phone
(929) 435-3268
Fax
(718) 370-1642
NPI assigned
Jun 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Aurora Rrustja
Title
Owner
Phone
(917) 605-1240

Specialties & licenses 1

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

Addresses

Primary practice location

460 Midland Ave
Staten Island, NY 10306-5104

Mailing address

25 Athena PL
Staten Island, NY 10314-5501
Phone (917) 605-1240

Other names 1

  • eagles adult day inc Former legal business name

National Provider Directory

National Provider Directory

Locations

3415 Quentin Rd
Brooklyn, NY 11234

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1568023620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ATHENA PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145501",
            "telephone_number": "917-605-1240",
            "fax_number": "718-370-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MIDLAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065104",
            "telephone_number": "929-435-3268",
            "fax_number": "718-370-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES ADULT DAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "RRUSTJA",
        "authorized_official_first_name": "AURORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-605-1240"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eagles adult day inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.