=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407516016
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KOLPONA ADULT DAYCARE INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/22/2021
-----------------------------------------------------
Last Update Date | 04/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9142 LEFFERTS BLVD
-----------------------------------------------------
City | RICHMOND HILL
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11418-3220
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-530-6518
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7601 101ST AVE
-----------------------------------------------------
City | OZONE PARK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11416-1931
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-328-2239
-----------------------------------------------------
Fax | 347-519-3255
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | NAJIMA BEGUM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 917-328-2239
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA0600X
-----------------------------------------------------
Taxonomy Name | Adult Day Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------