Healthcare Provider Details

I. General information

NPI: 1255291761
Provider Name (Legal Business Name): GENTLE HEARTS ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15020 HILLSIDE AVE
JAMAICA NY
11432-3320
US

IV. Provider business mailing address

15020 HILLSIDE AVE
JAMAICA NY
11432-3320
US

V. Phone/Fax

Practice location:
  • Phone: 718-395-0943
  • Fax:
Mailing address:
  • Phone:
  • 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: NAZBINA MIAH
Title or Position: CO OWNER
Credential:
Phone: 718-395-0943