Healthcare Provider Details

I. General information

NPI: 1033070552
Provider Name (Legal Business Name): YLC ADULT DAYCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7814 ROOSEVELT AVE STE 2
JACKSON HEIGHTS NY
11372-6646
US

IV. Provider business mailing address

9740 64TH AVE
REGO PARK NY
11374-2263
US

V. Phone/Fax

Practice location:
  • Phone: 718-899-1691
  • Fax: 718-899-1690
Mailing address:
  • Phone: 718-997-0426
  • Fax: 718-228-9180

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. LIBING LAI
Title or Position: MANAGER
Credential:
Phone: 718-899-1691