MEDICARE: EVERWELL SENIOR DAYCARE CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1548191810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERWELL SENIOR DAYCARE CENTER INC

Provider Business Mailing Address
First Line	:	950 55TH ST # 1B1C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-6579
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 55TH ST # 1B1C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-6579
Country	:	US
Telephone Number	:	646-257-6091
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CAIXI WU
Credential	:
Telephone Number	:	646-257-6091

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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