Interval Social Adult Day Care Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

INTERVAL SOCIAL ADULT DAY CARE INC.

Practice address

14012 Rockaway Blvd
South Ozone Park, NY 11436-1416

Phone

(718) 659-0336

Fax

(718) 712-2632

NPI assigned

Jan 26, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Maureen A EdwardsNPI 1871923078

Title

President

Phone

(718) 659-0336

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maureen Edwards, RN

  • Registered Nurse
  • South Ozone Park, NY
  • NPI 1871923078
  NPD (past) Authorized official

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1932566593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14012 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114361416",
            "telephone_number": "718-659-0336",
            "fax_number": "718-712-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14012 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114361416",
            "telephone_number": "718-659-0336",
            "fax_number": "718-712-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVAL SOCIAL ADULT DAY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-659-0336",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Hurley
• Rita Ijeoma Ihemekwere, MSED
• Stacey J Illiano, LMSW
• Reizana Imam
• Andria Ingram, MHC, CASAC-ADV
• Zeshan Iqbal, RPH
• Nalini Rosemary Itwaru, LPN
• Carline Jadotte
• Daphne Jadotte
• Jaipaul Ramkelawan Medical,P.C

• Adult Day Care Clinic/Center in South Ozone Park, NY
• Providers in South Ozone Park, 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 Jan 26, 2016; 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.