Healthcare Provider Details

I. General information

NPI: 1982962726
Provider Name (Legal Business Name): BAO KANG ADULT DAYCARE CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2012
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13229 BLOSSOM AVE
FLUSHING NY
11355-4915
US

IV. Provider business mailing address

13229 BLOSSOM AVE
FLUSHING NY
11355-4915
US

V. Phone/Fax

Practice location:
  • Phone: 718-358-0077
  • Fax: 347-542-3919
Mailing address:
  • Phone: 718-358-0077
  • Fax: 347-542-3919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. GUANGJUN XU
Title or Position: DIRECTOR
Credential:
Phone: 718-358-0077