Organization Active NPI

Second Home Social Adult Day Care of 86 Street LLC

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1922396118
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SECOND HOME SOCIAL ADULT DAY CARE OF 86 STREET LLC
Practice address
2444 86TH St
Brooklyn, NY 11214-4415
Phone
(718) 517-2444
Fax
(718) 266-0707
NPI assigned
Jul 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Mr. Vladimir Zborovsky
Title
President
Phone
(718) 517-2444

Specialties & licenses 1

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

Addresses

Primary practice location

2444 86TH St
Brooklyn, NY 11214-4415

Mailing address

2444 86TH St
Brooklyn, NY 11214-4415
Phone (718) 517-2444

National Provider Directory

National Provider Directory

Locations

2444 86th St
Brooklyn, NY 11214
Phone (718) 709-5329

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1922396118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144415",
            "telephone_number": "718-517-2444",
            "fax_number": "718-266-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144415",
            "telephone_number": "718-517-2444",
            "fax_number": "718-266-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND HOME SOCIAL ADULT DAY CARE OF 86 STREET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "ZBOROVSKY",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-517-2444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.