Healthcare Provider Details

I. General information

NPI: 1750217170
Provider Name (Legal Business Name): KASA475, INC. DBA ELMSTEAD DAYTIME SENIOR CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5965 TRANSIT RD STE 500
EAST AMHERST NY
14051-2372
US

IV. Provider business mailing address

475 LIMESTONE CT
GRAND ISLAND NY
14072-1891
US

V. Phone/Fax

Practice location:
  • Phone: 716-298-7989
  • Fax: 716-303-0301
Mailing address:
  • Phone: 716-298-7989
  • Fax: 716-303-0301

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: MS. KIMBERLY AUGER
Title or Position: PRESIDENT
Credential:
Phone: 716-298-7989