Organization Active NPI

Davis Social Adult Services

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1639552045
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
DAVIS SOCIAL ADULT SERVICES
Practice address
1349 Broadway FL 3
Brooklyn, NY 11221-3618
Phone
(718) 455-3600
Fax
(718) 455-3601
NPI assigned
Jul 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Mr. Stephen Edward Davis III
Title
Ceo/ Director
Phone
(718) 455-3600

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 1865 NY
Case Management Agency 251B00000X NY
In Home Supportive Care Agency 253Z00000X NY
Adult Day Care Clinic/Center 261QA0600X NY Primary
Private Vehicle 347C00000X NY

Addresses

Primary practice location

1349 Broadway FL 3
Brooklyn, NY 11221-3618

Mailing address

1349 Broadway FL 3
Brooklyn, NY 11221-3618
Phone (718) 455-3600

National Provider Directory

National Provider Directory

Locations

1349 Broadway
Ste 3
Brooklyn, NY 11221
Phone (718) 455-3600

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1639552045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 BROADWAY FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213618",
            "telephone_number": "718-455-3600",
            "fax_number": "718-455-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 BROADWAY FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213618",
            "telephone_number": "718-455-3600",
            "fax_number": "718-455-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS SOCIAL ADULT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO/ DIRECTOR",
        "authorized_official_telephone_number": "718-455-3600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "1865",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.