Organization Active NPI

Lincoln Adult Day Care Center

  • Adult Day Care Clinic/Center
  • Watervliet, NY
National Provider Identifier
1932931680
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LINCOLN ADULT DAY CARE CENTER
Practice address
410 23Rd St
Watervliet, NY 12189-2128
Phone
(714) 335-0142
Fax
(518) 677-1004
NPI assigned
Aug 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Sung Jun Kim
Title
Ceo/ Director
Phone
(714) 335-0142

Specialties & licenses 1

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

Addresses

Primary practice location

410 23Rd St
Watervliet, NY 12189-2128

Mailing address

410 23Rd St
Watervliet, NY 12189-2128
Phone (714) 335-0142

National Provider Directory

National Provider Directory

Locations

410 23rd St
Watervliet, NY 12189
Phone (714) 335-0142

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1932931680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 23RD ST",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892128",
            "telephone_number": "714-335-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 23RD ST",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892128",
            "telephone_number": "714-335-0142",
            "fax_number": "518-677-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "JUN",
        "authorized_official_title_or_position": "CEO/ DIRECTOR",
        "authorized_official_telephone_number": "714-335-0142"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watervliet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.