Organization Active NPI

Blossom Day Care Center LLC

  • Adult Day Care Clinic/Center
  • Flushing, NY
National Provider Identifier
1831513530
Registry record updated Feb 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
BLOSSOM DAY CARE CENTER LLC
Practice address
4260 Main St
Flushing, NY 11355-4709
Phone
(718) 813-1868
NPI assigned
Feb 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2014

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

Authorized official

Name
Mr. Kwok Lee, PRESIDENT
Title
Chief Executive Officer
Phone
(917) 709-7933

Specialties & licenses 1

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

Addresses

Primary practice location

4260 Main St
Flushing, NY 11355-4709

Mailing address

6924 168TH St
Fresh Meadows, NY 11365-3214

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392422400000",
    "number": "1831513530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6924 168TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554709",
            "telephone_number": "718-813-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM DAY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-15",
        "last_updated": "2014-02-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KWOK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "917-709-7933",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.