Organization Active NPI

Liberty Social Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • South Richmond Hill, NY
National Provider Identifier
1740811330
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LIBERTY SOCIAL ADULT DAY CARE LLC
Practice address
13011 Liberty Ave
South Richmond Hill, NY 11419-3121
Phone
(732) 766-5899
NPI assigned
Jan 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Hemang Patel
Title
President
Phone
(732) 766-5899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

13011 Liberty Ave
South Richmond Hill, NY 11419-3121

Mailing address

1066 Green St
Iselin, NJ 08830-2170
Phone (732) 766-5899

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1740811330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 GREEN ST",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302170",
            "telephone_number": "732-766-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13011 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114193121",
            "telephone_number": "732-766-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY SOCIAL ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HEMANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-766-5899"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.