Healthcare Provider Details

I. General information

NPI: 1295622181
Provider Name (Legal Business Name): WEIR SOCIAL ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 SHELLEY CT
MIDDLETOWN NY
10941-1814
US

IV. Provider business mailing address

42 SHELLEY CT
MIDDLETOWN NY
10941-1814
US

V. Phone/Fax

Practice location:
  • Phone: 914-318-9722
  • Fax: 914-318-9722
Mailing address:
  • Phone: 914-318-9722
  • Fax: 914-318-9722

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: TRESA-ANN TAMARA WEIR
Title or Position: OWNER
Credential:
Phone: 914-318-9722