Daughters of Jacob Adult Day Care Program

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

7000342N Issued in NY

Legal business name

DAUGHTERS OF JACOB ADULT DAY CARE PROGRAM

Practice address

1160 Teller Ave
Bronx, NY 10456-4145

Phone

(718) 293-1500

Fax

(718) 992-7074

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gilbert Manuel Preira

Title

Executive Director

Phone

(718) 293-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Daughters of Jacob Adult Day Care Program2 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.

• Daughters of Jacob Nursing Home Company, Inc.

  • Assisted Living Facility
  • Bronx, NY
  • NPI 1144616632
  NPD tax ID

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699811166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 TELLER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104564145",
            "telephone_number": "718-293-1500",
            "fax_number": "718-992-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 TELLER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104564145",
            "telephone_number": "718-293-1500",
            "fax_number": "718-992-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAUGHTERS OF JACOB ADULT DAY CARE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PREIRA",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-293-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "7000342N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01164130",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lia Datikashvili, DDS
• Arpita Datta, M.D.
• Jocelyn Gina Marie Daubendiek
• Leonard Gene Dauber, MD
• Marcus Vincent Daugherty, M.A., LMHC
• Daughters of Jacob Dialysis Center Corp
• Daughters of Jacob Nursing Home Co
• Daughters of Jacob Nursing Home Company, Inc.
• Herbert Frederick Daughtry, LMSW
• Rupal Daulat, DPT

• Adult Day Care Clinic/Center in Bronx, NY
• Providers in Bronx, 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 Aug 22, 2020; 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.