Liberty Adult Day Care LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

LIBERTY ADULT DAY CARE LLC

Practice address

12009 Liberty Ave
2ND Floor
South Richmond Hill, NY 11419-2117

Phone

(860) 997-5863

NPI assigned

Jan 13, 2013

Last updated

Jan 13, 2013By 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

Surindra Prasad

Title

Director

Phone

(860) 997-5863

Specialties & licenses 1

Addresses

Tax ID family

Liberty Adult Day Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Universal Adult Day Care, LLC

  • Adult Day Care Clinic/Center
  • Jamaica, NY
  • NPI 1780921890
  NPD tax ID

Locations

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

{
    "created_epoch": "1358035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358035200000",
    "number": "1568709343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12009 LIBERTY AVE",
            "address_2": "2ND FLOOR",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12009 LIBERTY AVE",
            "address_2": "2ND FLOOR",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192117",
            "telephone_number": "860-997-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-13",
        "last_updated": "2013-01-13",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "SURINDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-997-5863"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyce Janet Leighton, MS CCC-SLP
• Lensmasters, Inc
• Danielle Lynn Lesser
• Lin Leung, PHARMD, BCSCP
• Liberty 786 Dentistry
• Liberty Advanced Medical, P.C.
• Liberty Chiropractic Healthe & Wellness, P. C.
• Liberty Dental Care P.C.
• Liberty Eyecare Corp
• Liberty Eyes Inc. (Cohen's Fashion Optical)

• Adult Day Care Clinic/Center in South Richmond Hill, NY
• Providers in South Richmond Hill, 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 13, 2013; 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.