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NPI Code Detail

MEDICARE: ELDERNEST DAY CARE LLC

MEDICARE: ELDERNEST DAY CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1700729928
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELDERNEST DAY CARE LLC
Provider Business Mailing Address
First Line : 823 65TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4737
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 823 65TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4737
Country : US
Telephone Number : 718-492-4909
Fax Number :
Authorized Official
Title or Position : OWNER
Name : XIAOBO CHEN
Credential :
Telephone Number : 718-492-4909
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ELDERNEST DAY CARE LLC ” Practice Location

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