Healthcare Provider Details

I. General information

NPI: 1619309077
Provider Name (Legal Business Name): CAIPA SOCIAL DAYCARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 08/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 ELIZABETH ST
NEW YORK NY
10013-5608
US

IV. Provider business mailing address

41 ELIZABETH ST STE 600
NEW YORK NY
10013-4637
US

V. Phone/Fax

Practice location:
  • Phone: 212-965-9888
  • Fax:
Mailing address:
  • Phone: 212-965-9888
  • Fax: 212-965-1876

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: MS. PEGGY SHENG
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 212-965-9888