Organization Active NPI

Divine Living Adult Daycare Center, Inc.

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1770827123
Registry record updated Nov 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
DIVINE LIVING ADULT DAYCARE CENTER, INC.
Practice address
26 Malcolm X Blvd
Brooklyn, NY 11221-2349
Phone
(917) 501-9553
NPI assigned
Nov 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2012

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

Authorized official

Name
James Fields Jr.
Title
Owner
Phone
(917) 501-9553

Specialties & licenses 1

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

Addresses

Primary practice location

26 Malcolm X Blvd
Brooklyn, NY 11221-2349

Mailing address

198 E 57TH St
Brooklyn, NY 11203-4708

National Provider Directory

National Provider Directory

Locations

26 Malcolm X Blvd
Brooklyn, NY 11221
Phone (917) 501-9553

NPI Registry JSON

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353628800000",
    "number": "1770827123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 E 57TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112034708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MALCOLM X BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212349",
            "telephone_number": "917-501-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE LIVING ADULT DAYCARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-23",
        "last_updated": "2012-11-23",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-501-9553",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2012; 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.