Sheepshead Social Adult Day Care Center, LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

SHEEPSHEAD SOCIAL ADULT DAY CARE CENTER, LLC

Practice address

3900 Shore Pkwy
Brooklyn, NY 11235-1130

Phone

(718) 646-5700

Fax

(718) 646-8802

NPI assigned

Jun 14, 2013

Organization subpart

No

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

Authorized official

Name

Jerome Kahan, LNHA

Title

Administrator

Phone

(718) 646-5700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1851730618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 KNAPP ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351112",
            "telephone_number": "718-646-5700",
            "fax_number": "718-646-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 SHORE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351130",
            "telephone_number": "718-646-5700",
            "fax_number": "718-646-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEEPSHEAD SOCIAL ADULT DAY CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "KAHAN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-646-5700",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lena Shefelman, LMSW
• Chava Shefer, MD
• Philip C Sheffield Jr., M.A.

• Custodial Care Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Custodial Care Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.