Forever Young Adult Day Health Care Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

FOREVER YOUNG ADULT DAY HEALTH CARE CENTER

Practice address

4265 Maine Ave
Baldwin Park, CA 91706-3312

Phone

(626) 960-2800

Fax

(626) 960-2855

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lulu O Juco, R.N.

Title

Administrator RN

Phone

(626) 960-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891913950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 MAINE AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063312",
            "telephone_number": "626-960-2800",
            "fax_number": "626-960-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 MAINE AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063312",
            "telephone_number": "626-960-2800",
            "fax_number": "626-960-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER YOUNG ADULT DAY HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUCO",
        "authorized_official_first_name": "LULU",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR RN",
        "authorized_official_telephone_number": "626-960-2800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70419F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Michelle Fong, MD
• Donald S. Fong, MD
• Edith Fong, LCSW
• Foothill Care Center, Inc.
• Foothill Family Service
• Tammy L Franco, PT
• Sarah Evelyn Franklin, NP
• Friendly Dental Center
• Daisy H Fu, OD
• Lesley Kim Fuentes, OTD, OTR/L

• Adult Day Care Clinic/Center in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.