Healthcare Provider Details

I. General information

NPI: 1043166655
Provider Name (Legal Business Name): ACCESS SOCIAL ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 W MERRICK RD
VALLEY STREAM NY
11580-4823
US

IV. Provider business mailing address

640 W MERRICK RD
VALLEY STREAM NY
11580-4823
US

V. Phone/Fax

Practice location:
  • Phone: 646-907-4180
  • Fax: 646-907-4180
Mailing address:
  • Phone: 646-907-4180
  • Fax: 646-907-4180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SALMA KAUSAR ALI
Title or Position: DIRECTOR
Credential:
Phone: 646-907-4180