MEDICARE: THE WAY, SOCIAL SENIOR CARE 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	:	1720917016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE WAY, SOCIAL SENIOR CARE LLC

Provider Business Mailing Address
First Line	:	PO BOX 605
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-0605
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	665 N BROADWAY AVE
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603
Country	:	US
Telephone Number	:	551-655-1477
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	PETER ABDELMESSIH
Credential	:
Telephone Number	:	551-655-1477

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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