Healthcare Provider Details

I. General information

NPI: 1265393532
Provider Name (Legal Business Name): CHAUTAUQUA ADULT DAY CARE CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 CENTRAL AVE
DUNKIRK NY
14048-2504
US

IV. Provider business mailing address

358 E 5TH ST
JAMESTOWN NY
14701-5550
US

V. Phone/Fax

Practice location:
  • Phone: 716-366-8786
  • Fax:
Mailing address:
  • Phone: 716-485-6120
  • 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: VALERIE N JOHNSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 716-485-6120