BOULEVARD ADULT DAY CARE OF FLUSHING (NPI# 1336516954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336516954 |
| Entity Type | Organization |
| Organization Name | BOULEVARD ADULT DAY CARE OF FLUSHING |
| Practice Address |
15813 72nd Ave 2f Flushing NY 11365-1140 |
| Practice Telephone | 7183808882 |
| Practice Fax Number | 7183806719 |
| Mailing Telephone | 7183808882 |
| Mailing Fax Number | 7183806719 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |
| Authorized Official Name | MR. DAVID MARX (MANAGING MEMBER) |
| Authorized Official Telephone | 7183808882 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134583123 | Boulevard Adult Day Care of Flushing | Clinic/Center | 4101 75th St, Elmhurst, NY 11373-1851 | 2016-04-06 |
| 1952641128 | Boulevard Adult Day Care of Flushing | Custodial Care Facility | 4234 Saull St, Flushing, NY 11355-4543 | 2013-02-25 |
| 1346760899 | Boulevard Adult Day Care of Flushing | Clinic/Center | 636 Louisiana Ave, Brooklyn, NY 11239-1526 | 2017-06-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BOULEVARD ADULT DAY CARE OF FLUSHING LLC | 158-13 72nd Ave., Flushing, New York 11365 |
| Street Address |
15813 72ND AVE 2F |
| City | FLUSHING |
| State | NY |
| Zip Code | 11365-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487147344 | Celina Batista | Case Manager/Care Coordinator | 15813 72nd Ave, Flushing, NY 11365-1140 | 2018-06-14 |
| 1568719581 | Surindra Saini Sharma | Clinical Nurse Specialist | 15813 72nd Ave, # 7c, Flushing, NY 11365-4100 | 2012-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427660653 | Melanie Batista | Massage Therapist | 71-55 Parsons Blvd, Fresh Meadows, NY 11365 | 2020-08-19 |
| 1497396378 | Celestina Andino | Registered Nurse | 194-15b 64th Circle, 3c, Fresh Meadows, NY 11365 | 2019-10-02 |
| 1659939304 | Bracha Kosoff | Occupational Therapist | 71-64 168th St., Flushing, NY 11365 | 2019-05-29 |
| 1295290419 | Kate Okeke | Licensed Practical Nurse | 188 04 64th Avenue, Fresh Meadow, NY 11365 | 2019-02-01 |
| 1669951497 | Jihee Woo | Registered Nurse | 189-04 6f Fresh Meadows, Queeens, NY 11365 | 2018-08-13 |
| 1710465125 | In Hye Choi | Acupuncturist | 67-02a 188st., Apt 3b, Fresh Meadows, NY 11365 | 2018-07-30 |
| 1497231112 | Shamain C Persaud | Case Manager/Care Coordinator | 67-28 188th Street, Fresh Meadows, NY 11365 | 2018-07-16 |
| 1598280489 | Gabriella Pamela Koyenova | Physician Assistant | 69-24 181st Street, Fresh Meadows, NY 11365 | 2017-08-11 |
| 1750802781 | Nicola Coley | Behavioral Analyst | 6747 161st Street, 1k, Flushing, NY 11365 | 2017-06-29 |
| 1811427941 | Jong M Lee | Acupuncturist | 6020b 194th St Apt 3b, Fresh Meadows, NY 11365 | 2017-06-12 |
| Find all providers in zip 11365 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821618919 | Bnb Adult Daycare Corp | Clinic/Center | 15301 Northern Blvd Ste 1b, Flushing, NY 11354-5051 | 2020-04-20 |
| 1437799046 | Happy City Adult Day Care Center Inc. | Clinic/Center | 13254 Pople Ave, Flushing, NY 11355-4410 | 2020-01-11 |
| 1104471507 | Sarang Care Inc | Clinic/Center | 4525 162nd St, Flushing, NY 11358-3279 | 2019-08-03 |
| 1952969685 | Queens Borough Day Care, LLC | Clinic/Center | 13708 31st Rd, Flushing, NY 11354-2609 | 2019-05-29 |
| 1063070761 | Queens Borough Day Care, LLC | Clinic/Center | 14152 33rd Ave, Flushing, NY 11354-3229 | 2019-05-29 |
| 1730652470 | Am Social Adult Daycare Inc | Clinic/Center | 4128 Haight St Ste C1, Flushing, NY 11355-4274 | 2019-01-04 |
| 1902378284 | Wonderful Family Social Daycare Inc. | Clinic/Center | 13235 41st Rd Ste 1d, Flushing, NY 11355-4353 | 2018-12-26 |
| 1922579044 | Roosevelt Adult Daycare Center Inc | Clinic/Center | 14456 Roosevelt Ave, Flushing, NY 11354-6253 | 2018-12-16 |
| 1417423328 | Flushing Social Adult Care Inc | Clinic/Center | 13235 41st Rd Apt 2b, Flushing, NY 11355-4115 | 2018-10-18 |
| 1194210633 | Golden Empire Adult Day Care Center Inc. | Clinic/Center | 15401 Northern Blvd, Flushing, NY 11354-5029 | 2018-06-27 |
| Find all providers in FLUSHING | ||||
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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.