Healthcare Provider Details

I. General information

NPI: 1376407346
Provider Name (Legal Business Name): CENTURION SENIOR ADULT DAY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4261 SAULL ST
FLUSHING NY
11355-5452
US

IV. Provider business mailing address

4261 SAULL ST
FLUSHING NY
11355-5452
US

V. Phone/Fax

Practice location:
  • Phone: 718-888-0818
  • Fax:
Mailing address:
  • Phone: 718-888-0818
  • 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: XIAOWEI HE
Title or Position: OWNER
Credential:
Phone: 929-979-3578