Minnie Mae Social Adult Day Center LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MINNIE MAE SOCIAL ADULT DAY CENTER LLC

Practice address

301 S Fulton Ave
Mount Vernon, NY 10553

Phone

(914) 292-1064

Fax

(914) 863-2070

NPI assigned

Feb 6, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Mills, LMSW, CASAC

Title

Director

Phone

(347) 556-5188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1679072516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 WARREN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016590",
            "telephone_number": "347-556-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S FULTON AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "10553",
            "telephone_number": "914-292-1064",
            "fax_number": "914-863-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNIE MAE SOCIAL ADULT DAY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "347-556-5188",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW, CASAC"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daysi N. Mina
• Riesa P Minakan, LMSW
• Mind Muse Therapeutic Consulting Services LCSW PLLC
• Mindful Health NP in Psychiatry PC
• Joia Mingo
• Miriam N. James D.O. P.C.
• Meishagaye Mitchell
• Sandra M Mitchell, RN
• Sherika Mitchell
• Amjad M Mithqal, PHARMD

• Adult Day Care Clinic/Center in Mount Vernon, NY
• Providers in Mount Vernon, 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 Jun 21, 2018; 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.