MEDICARE: STATE SOCIAL ADULT DAYCARE INC

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
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1881558500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STATE SOCIAL ADULT DAYCARE INC

Provider Business Mailing Address
First Line	:	126 WALNUT ST
Second Line	:
City	:	LYNBROOK
State	:	NY
Zip	:	11563-2029
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2935 OCEAN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-8055
Country	:	US
Telephone Number	:	917-519-1151
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. REZWAN SIDDIQUE
Credential	:
Telephone Number	:	917-519-1151

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

Similar Medicare Providers

1497115836 — CHAR CHAMPION THERAPY
Practice Location Address:

351 MARINE AVE , 17C
BROOKLYN, NY
11209-8055

Practice Phone: 212-810-7578
Practice Fax:

1508498916 — HUY HUYNH PA-C
Practice Location Address:

366 KNICKERBOCKER AVE
BROOKLYN, NY
11237-8055

Practice Phone: 646-604-8160
Practice Fax:

1225627649 — JENNIFER PRISCILLA JOSEPH
Practice Location Address:

219 SACKMAN ST APT 4E
BROOKLYN, NY
11212-8055

Practice Phone: 646-541-8053
Practice Fax:

1568809648 — NUESTRO LINDO HOGAR, LLC
Practice Location Address:

709 ANGELITA DR STE D
WESLACO, TX
78596-5281

Practice Phone: 956-351-5139
Practice Fax:

1174956437 — HAPPY LIFE INC.
Practice Location Address:

136-82 39TH AVE
FLUSHING, NY
11354-5524

Practice Phone: 718-233-8056
Practice Fax: 718-233-8055

1205547080 — GREEN LEAVES ADHC LLC
Practice Location Address:

129 SAINT MATTHEWS AVE
LOUISVILLE, KY
40207-3141

Practice Phone: 502-797-8055
Practice Fax:

Directions to “STATE SOCIAL ADULT DAYCARE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.