Healthcare Provider Details

I. General information

NPI: 1386513398
Provider Name (Legal Business Name): HAPPY ADULT DAY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 53RD STREET
BROOKLYN NY
11219
US

IV. Provider business mailing address

917 53RD STREET
BROOKLYN NY
11219
US

V. Phone/Fax

Practice location:
  • Phone: 347-240-3626
  • Fax: 347-240-3625
Mailing address:
  • Phone: 347-240-3626
  • Fax: 347-240-3625

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. FANGBIN LIU
Title or Position: OWNER
Credential:
Phone: 917-378-6120