Healthcare Provider Details

I. General information

NPI: 1740600857
Provider Name (Legal Business Name): DIVERSIFIED SOCIAL ADULT DAY CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2014
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8615M ROCKAWAY BLVD
OZONE PARK NY
11416-2139
US

IV. Provider business mailing address

8615M ROCKAWAY BLVD
OZONE PARK NY
11416-2139
US

V. Phone/Fax

Practice location:
  • Phone: 718-880-9441
  • Fax:
Mailing address:
  • Phone: 718-880-9441
  • 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: GING TOE HO
Title or Position: ADMINISTRATOR
Credential:
Phone: 718-880-9441