Active NPI
Davis Social Adult Services
- Adult Day Care Clinic/Center
- Brooklyn, NY
National Provider Identifier
1639552045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.