SILVER AGE CARE, INC (NPI# 1124461256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124461256 |
| Entity Type | Organization |
| Organization Name | SILVER AGE CARE, INC |
| Practice Address |
14 Bruckner Blvd Bronx NY 10454-4414 |
| Practice Telephone | 7184142427 |
| Mailing Telephone | 7184142427 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-06-03 |
| Authorized Official Name | ALEXANDER YUSUPOV (PRESIDENT) |
| Authorized Official Telephone | 2125812500 |
| 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 |
14 BRUCKNER BLVD |
| City | BRONX |
| State | NY |
| Zip Code | 10454-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568009504 | Meiling Bigley | Acupuncturist | 14 Bruckner Blvd, Bronx, NY 10454 | 2019-12-10 |
| 1073163168 | Liberty Rhea Ranada Ebarle Pt PC | Physical Therapist | 14 Bruckner Blvd, Bronx, NY 10454-4414 | 2019-09-19 |
| 1427565902 | Donald Halverson | Chiropractor | 14 Bruckner Blvd, Bronx, NY 10454-4414 | 2018-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679044762 | Roland Koduah | Pharmacist | 537-539 East 138th Street, Bronx, NY 10454 | 2018-12-16 |
| 1407369416 | Noor Kazi LLC | Psychiatry & Neurology | 679 East 138 Street, Bronx, Fl.1, Bronx, NY 10454 | 2017-11-13 |
| 1982122628 | Jacob Mauro Dominguez | Licensed Practical Nurse | 223 Brook Av, Bronx, NY 10454 | 2017-09-01 |
| 1730618182 | Geanell Compton | Speech-Language Pathologist | 345 Brook Avenue, Bronx, NY 10454 | 2017-06-08 |
| 1285084053 | Everlaines Chapman Viltres | Registered Nurse | 426 E 141st St Apt 2, Bronx, NY 10454 | 2016-06-13 |
| 1790154466 | Damian Family Care Centers, Inc. | Clinic/Center | 2604 3rd Avenue, Bronx, NY 10454 | 2015-09-23 |
| 1073904975 | Alexis Acevedo | Counselor | 14 Bruckner Blvd Ste 3e, Bronx, NY 10454 | 2015-02-12 |
| 1609266949 | Andira Pena | Licensed Practical Nurse | 803 East 138th Street, Bronx, NY 10454 | 2015-01-26 |
| 1154675833 | Niki Patel | Occupational Therapist | 468 East 140th Street, Bronx, NY 10454 | 2012-11-02 |
| 1851697395 | New Superior Radio Group, Corp. | Taxi | 133 Lincoln Avenue, Bronx, NY 10454 | 2011-02-01 |
| Find all providers in zip 10454 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317824 | Boston Road Care LLC | Clinic/Center | 1698 Boston Rd, Bronx, NY 10460-4948 | 2020-02-06 |
| 1902444375 | Melrose Place Adult Daycare Inc | Clinic/Center | 655 Morris Ave Ste 1, Bronx, NY 10451-4898 | 2019-12-17 |
| 1871130369 | Deshi Adult Day Care Center Inc | Clinic/Center | 1871a Archer St, Bronx, NY 10460-6207 | 2019-12-04 |
| 1801457080 | Family Adult Day Care, Inc. | Clinic/Center | 2332 Hoffman Street, 2nd & 3rd Floor, Bronx, NY 10458 | 2019-06-27 |
| 1134699275 | Resurgency Shelters Inc | Clinic/Center | 1074 Prospect Ave, Bronx, NY 10459-2714 | 2018-12-02 |
| 1306323084 | Uhc Adult Day Program & Transport Services Inc | Clinic/Center | 1490 Crotona Parkway East, Bronx, NY 10460 | 2018-07-25 |
| 1255820288 | Oakmont Social Adult Day Care LLC | Clinic/Center | 726 Southern Blvd, Bronx, NY 10455-2106 | 2018-05-04 |
| 1750881041 | Tender Hearts Social Care | Clinic/Center | 1343 Webster Ave, Bronx, NY 10456-1805 | 2018-02-14 |
| 1376094763 | Nanoom Adult Day Care, Inc. | Clinic/Center | 3119 Webster Ave, Bronx, NY 10467-4905 | 2016-10-20 |
| 1922463827 | The Rainbow Adult Day Care LLC | Clinic/Center | 2011 Westchester Ave, Bronx, NY 10462-4507 | 2015-12-18 |
| Find all providers in BRONX | ||||
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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.