MEDICARE: SHERMAN WAY ADULT DAY HEALTH CARE 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588878516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHERMAN WAY ADULT DAY HEALTH CARE CENTER, INC.

Provider Business Mailing Address
First Line	:	18301 SHERMAN WAY
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-4425
Country	:	US
Telephone Number	:	818-654-0123
Fax Number	:	818-654-0121

Provider Business Practice Location Address
First Line	:	18301 SHERMAN WAY
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-4425
Country	:	US
Telephone Number	:	818-654-0123
Fax Number	:	818-654-0121

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. HAROLD JOON PYUN
Credential	:	MSW, PHD (ABD)
Telephone Number	:	818-654-0123

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	12/31/2025

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