BOULEVARD ADULT DAY CARE OF FLUSHING (NPI# 1346760899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346760899 |
| Entity Type | Organization |
| Organization Name | BOULEVARD ADULT DAY CARE OF FLUSHING |
| Practice Address |
636 Louisiana Ave Brooklyn NY 11239-1526 |
| Practice Telephone | 7185570999 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |
| Authorized Official Name | MICHAEL 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 |
| 1336516954 | Boulevard Adult Day Care of Flushing | Clinic/Center | 15813 72nd Ave, 2f, Flushing, NY 11365-1140 | 2015-08-31 |
| 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 |
636 LOUISIANA AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11239-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831630532 | Brooklyn Boulevard Alp | Custodial Care Facility | 636 Louisiana Ave, Brooklyn, NY 11239-1526 | 2017-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486259 | Nicole Shari Clarke | Registered Nurse | 185 Arzly Loop, Brooklyn, NY 11239 | 2020-04-23 |
| 1760922348 | Justin Hinds | Licensed Practical Nurse | 1280 Croton Loop Apt. 5g, Brooklyn, NY 11239 | 2017-03-02 |
| 1003293119 | Nichole Atterbury | Licensed Practical Nurse | 200 Bethel Loop Apt11c, Brooklyn, NY 11239 | 2015-04-28 |
| 1770836983 | Micheline Mesidor | Early Intervention Provider Agency | 1201 Pennsylvania Avenue 15 H, Brooklyn, NY 11239 | 2012-10-25 |
| 1336498427 | Samuel Omotoye | Registered Nurse | 1425 Pennsylvanie Avenue, Apt. 16f, Brooklyn, NY 11239 | 2012-09-05 |
| 1659681179 | Leonida Sentillas Griffith | Occupational Therapy Assistant | 1155 Pennsylvania Avenue, Apartment 16d, Brooklyn, NY 11239 | 2010-10-18 |
| 1578887717 | Gail Marie Swayne | Speech-Language Pathologist | 562 Lousiana Avenue, Brooklyn, NY 11239 | 2010-03-17 |
| 1376626994 | Priscila Siagan Zabala | Internal Medicine | 614 Louisiana Ave, Suite I, Brooklyn, NY 11239 | 2006-10-24 |
| 1053402370 | Nabil Raoof | Pediatrics | 1390 Pennsylvania Avenue, Brooklyn, NY 11239 | 2006-09-28 |
| 1306892070 | Willoughby Rehabilitation and Health Care Center LLC | Skilled Nursing Facility | 660 Louisiana Avenue, Brooklyn, NY 11239 | 2006-05-25 |
| Find all providers in zip 11239 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246888 | Brightest Adult Day Care Center LLC | Clinic/Center | 667 61st St, Brooklyn, NY 11220-4123 | 2020-02-10 |
| 1609407220 | Caring Adult Day Care Center Inc | Clinic/Center | 4102 8th Avenue Fl 1, Caring Adult Day Care(2f), Brooklyn, NY 11232 | 2020-02-01 |
| 1861023566 | We Care Adult Daycare Inc | Clinic/Center | 97 Moore St Ste 1, Brooklyn, NY 11206-3373 | 2020-01-31 |
| 1124663596 | Fortune Social Daycare Center Inc | Clinic/Center | 2402 86th St, Brooklyn, NY 11214-4466 | 2019-11-08 |
| 1518529452 | Housing Works Services II, Inc | Clinic/Center | 57 Willoughby Street, Lower Level, Brooklyn, NY 11201-5290 | 2019-07-01 |
| 1568023620 | Eagles Adult Day Inc | Clinic/Center | 3415 Quentin Rd, Brooklyn, NY 11234-4228 | 2019-06-27 |
| 1235796814 | 1st Choice Adc Inc | Clinic/Center | 8501 New Utrecht Ave, Brooklyn, NY 11214-2906 | 2019-05-20 |
| 1124582275 | Jiansheng Lin | Clinic/Center | 62 Florence Ave, Brooklyn, NY 11229-3909 | 2019-01-23 |
| 1154893121 | A Song of Ascents LLC. | Clinic/Center | 2526 Neptune Ave, Brooklyn, NY 11224 | 2019-01-01 |
| 1245709831 | An Kang Adult Day Care LLC | Clinic/Center | 835 61st St # 103, Brooklyn, NY 11220-4312 | 2018-11-13 |
| Find all providers in BROOKLYN | ||||
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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.