NPIMap

Organization Active NPI

Crystal Lake Senior Daycare, Inc.

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1992542724
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
CRYSTAL LAKE SENIOR DAYCARE, INC.
Practice address
900 60TH St
Brooklyn, NY 11219-4829
Phone
(718) 500-4781
NPI assigned
Jul 10, 2024
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Li Chen
Title
President
Phone
(917) 529-2415

Specialties & licenses 1

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

Addresses

Primary practice location

900 60TH St
Brooklyn, NY 11219-4829

Mailing address

900 60TH St
Brooklyn, NY 11219-4829
Phone (718) 500-4780

National Provider Directory

National Provider Directory
Tax ID family
Crystal Lake Senior Daycare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1992542724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 60TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194829",
            "telephone_number": "718-500-4780",
            "fax_number": "718-500-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 60TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194829",
            "telephone_number": "718-500-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL LAKE SENIOR DAYCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "LI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-529-2415"
    },
    "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 Sep 16, 2025; 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.