Healthcare Provider Details

I. General information

NPI: 1821507732
Provider Name (Legal Business Name): U.S. SENIOR ADULT DAYARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2017
Last Update Date: 09/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 FULTON AVE
HEMPSTEAD NY
11550-4553
US

IV. Provider business mailing address

9424 226TH ST
FLORAL PARK NY
11001-3803
US

V. Phone/Fax

Practice location:
  • Phone: 516-775-2722
  • Fax: 718-865-9195
Mailing address:
  • Phone: 917-916-0703
  • Fax: 718-865-9195

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: MRS. SAMANTHA CHESTER
Title or Position: PRESIDENT
Credential:
Phone: 516-775-2722