MEDICARE: CAIPA SOCIAL DAYCARE CENTER, LLC

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	:	1619309077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAIPA SOCIAL DAYCARE CENTER, LLC

Provider Business Mailing Address
First Line	:	41 ELIZABETH ST STE 600
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-4637
Country	:	US
Telephone Number	:	212-965-9888
Fax Number	:	212-965-1876

Provider Business Practice Location Address
First Line	:	40 ELIZABETH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-5608
Country	:	US
Telephone Number	:	212-965-9888
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	MS. PEGGY SHENG
Credential	:
Telephone Number	:	212-965-9888

Provider Enumeration Date	:	08/07/2013
Last Update Date	:	08/07/2013

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