Active NPI
Lincoln Adult Day Care Center
- Adult Day Care Clinic/Center
- Watervliet, NY
National Provider Identifier
1932931680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Adult Day Care Clinic/Center
- Watervliet, NY
- NPI 1437852134
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.