LA VIDA ADULT SOCIAL CARE CENTER, LLC (NPI# 1255775771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255775771 |
| Entity Type | Organization |
| Organization Name | LA VIDA ADULT SOCIAL CARE CENTER, LLC |
| Practice Address |
5030 Broadway Suite # 804 New York NY 10034-1609 |
| Mailing Address |
5030 Broadway Suite #804 New York NY 10034-1609 |
| Practice Telephone | 9176881543 |
| Practice Fax Number | 9176881542 |
| Mailing Telephone | 9176881543 |
| Mailing Fax Number | 9176881542 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |
| Authorized Official Name | MR. VLADISLAV M. TOLCHEV (MEMBER-MANAGER) |
| Authorized Official Telephone | 9176881543 |
| 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 |
5030 BROADWAY SUITE # 804 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10034-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023093721 | Jonathan Max Rieber | Internal Medicine | 5030 Broadway, Suite 707, New York, NY 10034 | 2005-12-14 |
| 1053920702 | Melida Perez | Social Worker | 5030 Broadway, New York, NY 10034-1609 | 2020-07-29 |
| 1366050130 | Avi Joseph Schwartz | Social Worker | 5030 Broadway, New York, NY 10034-1609 | 2020-07-17 |
| 1477171775 | Adam Huttel | Social Worker | 5030 Broadway, New York, NY 10034-1609 | 2020-07-13 |
| 1043837388 | Roberta Olivia Taylor | Social Worker | 5030 Broadway, New York, NY 10034-1609 | 2020-07-02 |
| 1720628472 | Benjamin Stein | Social Worker | 5030 Broadway, Suite 201, New York, NY 10034 | 2020-01-10 |
| 1982254645 | Lirio Veloz | Student in an Organized Health Care Education/Training Program | 5030 Broadway, New York, NY 10034-1609 | 2019-09-16 |
| 1790332997 | Rosemarie Barbalace | Social Worker | 5030 Broadway, New York, NY 10034-1609 | 2019-08-22 |
| 1720644495 | Sarynes Henry | Social Worker | 5030 Broadway, New York, NY 10034-1609 | 2019-05-17 |
| 1568936367 | Lois Jane Griff | Social Worker | 5030 Broadway, New York, NY 10034-1609 | 2019-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812512 | Vilma Lantigua | Physician Assistant | 90 Vermilyea Ave #139, New York, NY 10034 | 2019-10-11 |
| 1477037125 | Alexa Paige Ruffino | Physician Assistant | 5105 Broadway, New York, NY 10034 | 2018-09-19 |
| 1821514456 | Chinara M Tate | Dietitian, Registered | 520 W 218th Street, Apt 3a, New York, NY 10034 | 2017-08-15 |
| 1770006165 | Brittany Palmer | Speech-Language Pathologist | 10 Park Ter E Apt 4l, New York, NY 10034 | 2017-07-18 |
| 1457891947 | Easy Choice Agency | Home Health | 3863 10th Avenue, Ny, NY 10034 | 2017-03-02 |
| 1598114738 | Kent Haina Jr. | Nurse Anesthetist, Certified Registered | 133 Seaman Ave Apt 5a, New York, NY 10034 | 2016-06-08 |
| 1902274756 | Rosa Ma Caram | Early Intervention Provider Agency | 601 Kappock St., Apt. 4e, Bronx, NY 10034 | 2015-09-10 |
| 1104232040 | Michael Kwakye | General Practice | 5030 Broadway Ste 816, New York, NY 10034 | 2014-07-10 |
| 1619389624 | Jay Steven Reidler | Orthopaedic Surgery | Columbia Orthopedics, 5141 Broadway, 3 Field West, New York, NY 10034 | 2014-05-25 |
| 1467718247 | Sherman Medical Care, PC | Internal Medicine | 231 Sherman Ave, 1f, New York, NY 10034 | 2012-04-06 |
| Find all providers in zip 10034 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
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| 1538646856 | Jgb Rehabilitation Corp. | Clinic/Center | 250 W 64 St, New York, NY 10023-6301 | 2018-07-20 |
| 1518455906 | Prestige Quality Care, LLC | Clinic/Center | 7 E 116th St, New York, NY 10029-1075 | 2018-05-01 |
| 1225542590 | Topa Social Garden Inc | Clinic/Center | 151 W 128th St, New York, NY 10027-3010 | 2017-11-25 |
| 1053843243 | Golden Era Social Adult Day Care | Clinic/Center | 3863 10th Ave, 2nd Floor, New York, NY 10034-1849 | 2017-03-28 |
| 1033655881 | Akal Care LLC | Clinic/Center | 507 W 181st St, New York, NY 10033-5102 | 2017-01-17 |
| 1194271510 | Golden Sun Life Daycare LLC | Clinic/Center | 75 East Broadway, 2nd Floor, New York, NY 10002 | 2016-08-26 |
| 1548715444 | Fort Tryon Rehabilitation & Health Care Facility LLC | Clinic/Center | 1916 Park Ave, New York, NY 10037-3738 | 2016-08-20 |
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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.