Healthcare Provider Details

I. General information

NPI: 1992507040
Provider Name (Legal Business Name): ARCHANGEL MICHAEL ADULT DAY HEALTH CARE CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CHURCH RD
HOWELL NJ
07731-2402
US

IV. Provider business mailing address

7 CHURCH RD
HOWELL NJ
07731-2402
US

V. Phone/Fax

Practice location:
  • Phone: 732-690-1575
  • Fax:
Mailing address:
  • Phone: 732-690-1575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SAMY S. BASSILY
Title or Position: EXECUTIVE DIRECTOR
Credential: CALA
Phone: 732-690-1575