Healthcare Provider Details

I. General information

NPI: 1831933019
Provider Name (Legal Business Name): PERFECT AGE ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2024
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19725 HILLSIDE AVE
HOLLIS NY
11423-2126
US

IV. Provider business mailing address

19725 HILLSIDE AVE
HOLLIS NY
11423-2126
US

V. Phone/Fax

Practice location:
  • Phone: 646-591-8396
  • Fax: 917-396-4115
Mailing address:
  • Phone: 646-591-8396
  • 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: AMENA NAWAZ
Title or Position: CEO
Credential:
Phone: 646-591-8396