Healthcare Provider Details

I. General information

NPI: 1316283153
Provider Name (Legal Business Name): CROWN GARDEN ADULT DAYCARE CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2012
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1743 81ST ST LOWR LEVEL
BROOKLYN NY
11214-2268
US

IV. Provider business mailing address

1743 81ST ST LOWR LEVEL
BROOKLYN NY
11214-2268
US

V. Phone/Fax

Practice location:
  • Phone: 917-559-0356
  • Fax:
Mailing address:
  • Phone: 347-462-1341
  • Fax: 347-462-1342

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. XUEMING HUANG
Title or Position: PRESIDENT
Credential:
Phone: 646-431-9608