Aveena' S Adult Social Day Care LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

AVEENA' S ADULT SOCIAL DAY CARE LLC

Practice address

214-19 Jamaica Ave
Queens Village, NY 11428-1726

Phone

(719) 880-1061

NPI assigned

Dec 13, 2021

Last updated

Dec 13, 2021By 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

Vidia Balkaran

Title

Owner

Phone

(718) 880-1061

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1851050256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214-19 JAMAICA AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214-19 JAMAICA AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281726",
            "telephone_number": "719-880-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVEENA' S ADULT SOCIAL DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "BALKARAN",
        "authorized_official_first_name": "VIDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-880-1061"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamantha Sherina Atterbury, OTR/L
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• Macula Augustin
• Marie Augustin
• Avalanche Care Inc (Elite Medical Staffing)
• Mofid Awadallah, RPH
• Farhad Azizzadeh, DDS
• Diana Babayev
• Jonathan Babayev
• Joseph Babby

• Adult Day Care Clinic/Center in Queens Village, NY
• Providers in Queens Village, 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 13, 2021; 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.