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NPI 1144761776

NPI 1144761776 : NEXUS SOCIAL ADULT DAY CARE LLC : FLORAL PARK, NY

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General NPI Number Information
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    NPI Number           |    1144761776
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEXUS SOCIAL ADULT DAY CARE LLC 
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Dates
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    Enumeration Date     |    03/15/2017
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    Last Update Date     |    06/25/2026
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Provider Practice Location Address
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    Address Line         |    8347 258TH ST 
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    City                 |    FLORAL PARK
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    State                |    NY
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    Zip                  |    11004-1640
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    Country              |    US
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    Telephone            |    917-604-6405
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8347 258TH ST 
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    City                 |    FLORAL PARK
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    State                |    NY
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    Zip                  |    11004-1640
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    Country              |    US
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    Telephone            |    718-255-8800
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    Fax                  |    718-228-7704
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Authorized Official
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    Title or Position    |    PROGRAM DIRECTOR
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    Name                 |     SONAM L SINGH 
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    Credential           |    
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    Telephone            |    718-255-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA0600X
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    Taxonomy Name        |    Adult Day Care Clinic/Center
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    License Number       |    
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    License Number State |    NY
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