Healthcare Provider Details

I. General information

NPI: 1306568316
Provider Name (Legal Business Name): REHANA ADULT DAY CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2022
Last Update Date: 09/15/2022
Certification Date: 09/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 WILLIS AVE
MINEOLA NY
11501-2671
US

IV. Provider business mailing address

185 WILLIS AVE
MINEOLA NY
11501-2671
US

V. Phone/Fax

Practice location:
  • Phone: 516-240-2285
  • Fax: 516-240-2278
Mailing address:
  • Phone: 516-240-2285
  • Fax: 516-240-2278

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: ABID SULEMAN
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 516-240-2285