Healthcare Provider Details

I. General information

NPI: 1144761776
Provider Name (Legal Business Name): NEXUS SOCIAL ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2017
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8347 258TH ST
FLORAL PARK NY
11004-1640
US

IV. Provider business mailing address

8347 258TH ST
FLORAL PARK NY
11004-1640
US

V. Phone/Fax

Practice location:
  • Phone: 917-604-6405
  • Fax:
Mailing address:
  • Phone: 718-255-8800
  • Fax: 718-228-7704

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: SONAM L SINGH
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 718-255-8800