GRACEVILLE ADULT DAY CARE CENTER INC.


Address: 1415 Clintonville St, Whitestone, NY 11357-1825
Phone: 5166063856

GRACEVILLE ADULT DAY CARE CENTER INC. (NPI# 1225483555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225483555
Entity Type Organization
Organization Name GRACEVILLE ADULT DAY CARE CENTER INC.
Practice Address 1415 Clintonville St
Whitestone
NY 11357-1825
Mailing Address 9 Winthrop Dr
Woodbury
NY 11797-1318
Practice Telephone 5166063856
Mailing Telephone 5166063856
Enumeration Date 2016-04-23
Last Update Date 2016-04-23
Authorized Official Name MRS. TERESA YEE WA WU (DIRECTOR)
Authorized Official Telephone 5166063856
Authorized Official Credential L.AC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization Managed Care Organizations

Office Location

Street Address 1415 CLINTONVILLE ST
City WHITESTONE
State NY
Zip Code 11357-1825

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NPI Name Taxonomy Address Enumeration
1821695438 Christina Alvarez Physician Assistant 14704 8th Avenue, Whitestone, NY 11357 2020-10-06
1265047559 Caitlin M Burke Speech-Language Pathologist 12-10 150th St, Whitestone, NY 11357 2020-09-13
1013548007 Christina Nichole De Vito Student in an Organized Health Care Education/Training Program 15-50 14th Road, Whitestone, NY 11357 2020-01-29
1669956876 Core Physical Therapy of Queens PC Physical Therapist 150-47b 14th Ave, Whitestone, NY 11357 2018-09-24
1356832307 Nerlande A Hjardemaal Registered Nurse 14201 20th Ave, Flushing, NY 11357 2018-05-25
1114443504 Dorothya O Thompson Case Manager/Care Coordinator 152-53 10th Ave, Whitestone, NY 11357 2017-08-17
1124540794 Gaelle Anta Fall-koffi Case Manager/Care Coordinator 152-53, 10th Avenue, Suite 201, Whitestone, NY 11357 2017-07-14
1841729209 Charlene Underwood Case Management 152-53-10th Ave, Whitestone, NY 11357 2017-06-08
1356880892 Lindsay Ingenito Student in an Organized Health Care Education/Training Program 14203 20th Ave, Flushing, NY 11357 2017-02-16
1952756389 Whiyie Alfonso Sang Student in an Organized Health Care Education/Training Program 154-65 10th Ave, New York, NY 11357 2016-05-04
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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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1114465622 The Forgotten Ones Incorporated Exclusive Provider Organization 5037 Newtown Rd, Woodside, NY 11377-1711 2017-02-03
1306382734 Achievement for Disabled Youth Exclusive Provider Organization 1090 University Ave Apt E3, Bronx, NY 10452-4219 2017-01-09
1043755507 Happy Home Adult Day Care Inc Exclusive Provider Organization 3636 Prince St Ste 310, Flushing, NY 11354-4001 2016-12-19
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Competitor

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City WHITESTONE
Zip Code 11357

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Dataset Information

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.

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