Healthcare Provider Details

I. General information

NPI: 1205247756
Provider Name (Legal Business Name): APEX ADULT DAY CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 05/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 FINDLAY AVE
BRONX NY
10456-4182
US

IV. Provider business mailing address

45 BLUEBIRD HILL CT
MANHASSET NY
11030-4021
US

V. Phone/Fax

Practice location:
  • Phone: 718-767-1967
  • Fax:
Mailing address:
  • Phone: 917-584-6777
  • Fax: 718-228-6927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JONATHAN MAWERE
Title or Position: PRESIDENT & CHIEF EXECUTIVE OFFICER
Credential: LNHA, DPT, MD
Phone: 917-584-6777