Prestigious Adult Day Care, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

PRESTIGIOUS ADULT DAY CARE, INC.

Practice address

7 Broad Ave Ste 301
Palisades Park, NJ 07650-1886

Phone

(601) 317-1417

NPI assigned

Jul 25, 2019

Organization subpart

Yes

Parent organization

PRESTIGIOUS LONGEVITY CARE, INCAs reported in NPPES

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

Authorized official

Name

Gwen Walker

Title

Consultant

Phone

(601) 317-1417

Specialties & licenses 1

Addresses

Electronic endpoints 1

Part of

Prestigious Adult Day Care Inc

Locations

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1699329094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720475",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392720475",
            "telephone_number": "601-317-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BROAD AVE STE 301",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501886",
            "telephone_number": "601-317-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGIOUS ADULT DAY CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESTIGIOUS LONGEVITY CARE, INC",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "601-317-1417"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Byram",
            "affiliation": "N",
            "address_1": "7 Broad Ave Ste 301",
            "city": "Palisades Park",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076501886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.