DIAMOND YEARS ADULT MEDICAL DAY CARE CENTER LLC (NPI# 1508214099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508214099 |
Entity Type | Organization |
Organization Name | DIAMOND YEARS ADULT MEDICAL DAY CARE CENTER LLC |
Practice Address |
360 West Clinton Street Haledon NJ 07508 |
Practice Telephone | 9739424111 |
Practice Fax Number | 9739420111 |
Mailing Telephone | 9739424111 |
Mailing Fax Number | 9739420111 |
Enumeration Date | 2016-05-25 |
Last Update Date | 2016-05-25 |
Authorized Official Name | EUGENA KIM (ADMINISTRATOR) |
Authorized Official Telephone | 9739424111 |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | DIAMOND YEARS ADULT MEDICAL DAY CARE CENTER LLC | 360 W Clinton Street, Haledon, NJ 07508-1528 |
Street Address |
360 WEST CLINTON STREET |
City | HALEDON |
State | NJ |
Zip Code | 07508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588151047 | Life Opportunities Unlimited: A Non Profit Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Beam Place, Haledon, NJ 07508 | 2018-04-19 |
1922490838 | Fatima Evans | Licensed Practical Nurse | 232 Northb 12place, Prospectpark, NJ 07508 | 2015-03-02 |
1740415900 | Kristine Y. Salva | Nurse Practitioner | 4 Aspen Terrace, North Haledon, NJ 07508 | 2009-05-18 |
1669630810 | William J Trotter | Dentist | 475 High Mt Rd, North Halendon, NJ 07508 | 2008-05-23 |
1528107828 | Jeffrey Robert Schreiber | Psychologist | 546 High Mountain Road, North Haledon, NJ 07508 | 2007-02-05 |
1427109412 | Rehabilitation Associates of Prospect Park | Specialist | 265 N 9th St, Prospect Park, NJ 07508 | 2007-01-16 |
1598820557 | Charles Kerry Gleason | Chiropractor | 438 Haledon Avenue, Haledon, NJ 07508 | 2006-12-27 |
1245317296 | Jawdat Varoqua | Dentist | 318 Haledon Ave, Prospect Park, NJ 07508 | 2006-11-01 |
1427134162 | T & F Drugs Inc | Pharmacy | 467 High Mountain Rd, North Haledon, NJ 07508 | 2006-10-27 |
1235741760 | Justin Prasad | Pharmacist | 447 Belmont Ave, Haledon, NJ 07508 | 2020-08-17 |
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Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
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---|---|---|---|---|
1841832482 | Perfecting Life Community Center | Clinic/Center | 183 Belmont Ave, Haledon, NJ 07508-1477 | 2019-10-15 |
1992185797 | Care Factory Inc | Clinic/Center | 397 Haledon Ave, Suite 202, Haledon, NJ 07508-1551 | 2015-06-05 |
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1083255012 | Param Healthcare & It Services, Inc | Clinic/Center | 750 Bloomfield Ave, Clifton, NJ 07012-1257 | 2019-10-01 |
1699329094 | Prestigious Adult Day Care, Inc. | Clinic/Center | 7 Broad Ave Ste 301, Palisades Park, NJ 07650-1886 | 2019-07-25 |
1932768991 | Broad Amdc Inc. | Clinic/Center | 248 Broad Ave Fl 2, Palisades Park, NJ 07650-1552 | 2019-06-12 |
1831651082 | Nand Ghanshyam | Clinic/Center | 347 Elizabeth Ave, Somerset, NJ 08873-1123 | 2019-04-04 |
1497217939 | Care Forever Adult Day Care Center LLC | Clinic/Center | 7 Progress St, Edison, NJ 08820-1102 | 2019-04-03 |
1750855631 | Always Young At Heart LLP | Clinic/Center | 25 W Black Horse Pike, Pleasantville, NJ 08232-2639 | 2019-01-14 |
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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.