Holy Dove Christian Fellowship

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

HOLY DOVE CHRISTIAN FELLOWSHIP

Doing business as

Kingdom Living Senior Day Center

Practice address

915 Stuyvesant Ave
Irvington, NJ 07111-1116

Phone

(973) 996-5575

Fax

(973) 351-5443

NPI assigned

Feb 18, 2022

Last updated

Feb 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Theresa Ayers

Title

Administrator

Phone

(973) 996-5575

Specialties & licenses 1

Addresses

Other names 1

• KINGDOM LIVING SENIOR DAY CENTER Doing business as

Locations

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1750036661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 STUYVESANT AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111116",
            "telephone_number": "973-996-5575",
            "fax_number": "973-351-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 STUYVESANT AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111116",
            "telephone_number": "973-996-5575",
            "fax_number": "973-351-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY DOVE CHRISTIAN FELLOWSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-996-5575",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGDOM LIVING SENIOR DAY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hearts to Hands Care, LLC
• Cyril Henry, DDS
• Simone Hinds
• Elise Hoi, O.D.
• Lynne Chantel Holley, LCSW, LCADC
• Homebunks
• Hope Physical Therapy and Rehabilitation Service PC
• Rasheed Tarik Horne
• Ayanna Howard
• Hudson Physicians Associates

• Adult Day Care Clinic/Center in Irvington, NJ
• Providers in Irvington, 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 Feb 18, 2022; 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.