Silver Willows, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SILVER WILLOWS, LLC

Practice address

9 Farm LN
Spring Valley, NY 10977-1137

Phone

(267) 253-4836

NPI assigned

Dec 11, 2014

Last updated

Dec 11, 2014By 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

Mrs. Zarema Jagizarov, C.D.P.

Title

Program Director

Phone

(267) 253-4836

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1770981409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FARM LN",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771137",
            "telephone_number": "267-253-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 FARM LN",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771137",
            "telephone_number": "267-253-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER WILLOWS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "JAGIZAROV",
        "authorized_official_first_name": "ZAREMA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "267-253-4836",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.D.P."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Spring Valley, NY
• Providers in Spring Valley, 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 Dec 11, 2014; 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.