CRYSTAL ADULT SOCIAL DAY CARE LLC (NPI# 1003318312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003318312 |
| Entity Type | Organization |
| Organization Name | CRYSTAL ADULT SOCIAL DAY CARE LLC |
| Practice Address |
138-31 Queens Blvd Jamaica NY 11435 |
| Mailing Address |
13831 Queens Blvd Jamaica NY 11435-2641 |
| Practice Telephone | 7186420011 |
| Practice Fax Number | 7185589290 |
| Mailing Telephone | 7186420011 |
| Mailing Fax Number | 7185589290 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |
| Authorized Official Name | SVETLANA RAKHMAN (GENERAL MANAGER) |
| Authorized Official Telephone | 9176745788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
138-31 QUEENS BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1871114892 | Alternative Care Occupational Therapy, PC | Occupational Therapist | 149-16 Jamaica Ave, Jamaica, NY 11435 | 2020-04-30 |
| 1831737311 | Aminat Adams | Registered Nurse | 10753 Remitown Street, Jamaica, NY 11435 | 2019-12-16 |
| 1376180349 | Isabella Herold | Dietitian, Registered | 97-04 Sutphin Boulevard, Jamaica, NY 11435 | 2019-12-09 |
| 1235774654 | Angela Rose Torriero | Occupational Therapist | 90-36 150th Street, Jamaica, Queens, NY 11435 | 2019-11-08 |
| 1396386009 | Alexandra Mikyung Kim | Registered Nurse | 90-27 Sutphin Boulevard, Jamaica, NY 11435 | 2019-10-03 |
| 1043782097 | Louis E Krigger | Counselor | Restfull Nights Corporation, 106-38 150th St, Jamaica, NY 11435 | 2018-12-31 |
| 1407326093 | Syretta Henry | Social Worker | 90-27 Sutphin Blvd 5th Floor, Jamaica, NY 11435 | 2018-11-27 |
| 1972083277 | Debra Witherspoon-benders | Licensed Vocational Nurse | Samaritan Daytop Village 138-02 Queens Boulevard, Briarwood, NY 11435 | 2018-08-16 |
| 1982182895 | Emmanuel Oszwa Odigie | Respite Care | 148-13 Hillside Ave, 2nd Fl Briarwood, Briarwood, NY 11435 | 2018-08-02 |
| Find all providers in zip 11435 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952933947 | Unity Adult Daycare Inc | Clinic/Center | 16210 Highland Ave, Jamaica, NY 11432-3438 | 2020-02-07 |
| 1942703574 | Queens Social Adult Day Care Inc | Clinic/Center | 14841 Hillside Ave, Jamaica, NY 11435-3330 | 2018-03-09 |
| 1083120604 | Zamzam Social Adult Day Care LLC | Clinic/Center | 15015 Hillside Ave, Jamaica, NY 11432-3319 | 2017-12-19 |
| 1982117016 | Adult Day Care Management LLC | Clinic/Center | 13011 Liberty Ave, Jamaica, NY 11419-3121 | 2017-11-11 |
| 1215448022 | Ny Mobile Rehab LLC | Clinic/Center | 13829 Queens Blvd, Jamaica, NY 11435-2641 | 2017-10-19 |
| 1245758838 | Elderville Group Inc | Clinic/Center | 14803 Hillside Ave Ste A, Jamaica, NY 11435-3330 | 2017-09-02 |
| 1265963318 | Woodhaven Lifestyle Senior Center Inc. | Clinic/Center | 8507 86th Ave, Jamaica, NY 11421-1207 | 2017-03-21 |
| 1740738236 | Arun Thaker | Clinic/Center | 130-05 101 Street, 1, Jamaica, NY 11419 | 2016-09-14 |
| 1770954554 | Jurukan Inc | Clinic/Center | 14815 Archer Ave, Jamaica, NY 11435-4316 | 2015-10-19 |
| 1104203736 | Jamaica Service Program for Older Adults | Clinic/Center | 92-33 170th Street, Jamaica, NY 11433 | 2015-05-04 |
| Find all providers in JAMAICA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.