GOLDEN YEARS ADCC LLC (NPI# 1972840775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972840775 |
| Entity Type | Organization |
| Organization Name | GOLDEN YEARS ADCC LLC |
| Practice Address |
35 Peter Court Staten Island NY 10304 |
| Mailing Address |
135 Canal Street Staten Island NY 10304 |
| Practice Telephone | 7188151101 |
| Mailing Telephone | 7188151101 |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2015-10-26 |
| Authorized Official Name | RAISA SHINDER (OWNER) |
| Authorized Official Telephone | 7188151101 |
| 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 |
35 PETER COURT |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940052 | Good Faith Social Daycare | Clinic/Center | 1385 Bay St, Staten Island, NY 10305-3901 | 2020-07-28 |
| 1184264335 | Staten Island Social Adult Day Care Inc | Clinic/Center | 614 Richmond Rd, Staten Island, NY 10304-2410 | 2020-01-15 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1942859053 | 4ever Good Adult Daycare Center Inc | Clinic/Center | 2980 Richmond Ter, Staten Island, NY 10303-2318 | 2019-09-11 |
| 1558896712 | Marina Senior Center Inc | Clinic/Center | 625 Midland Ave, Staten Island, NY 10306-6019 | 2017-04-25 |
| 1073064267 | Heavenly Hearts Adult Day Care, Inc. | Clinic/Center | 500 Todt Hill Rd, Staten Island, NY 10304-1326 | 2016-10-22 |
| 1689055139 | Joon Weon Choe | Clinic/Center | 4295 Arthur Kill Rd, Staten Island, NY 10309-1343 | 2015-06-10 |
| 1750718938 | Fiesta Adult Daycare of Staten Island Inc. | Clinic/Center | 1241 Castleton Ave, Staten Island, NY 10310-1713 | 2013-10-02 |
| 1902248602 | Su Casa Adult Day Care | Clinic/Center | 533 Port Richmond Ave, Staten Island, NY 10302-1720 | 2013-07-23 |
| 1760723621 | Si. Senior Lifestyle Center Inc | Clinic/Center | 98 Port Richmond Ave, Staten Island, NY 10302 | 2013-03-01 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
Please comment or provide details below to improve the information on GOLDEN YEARS ADCC LLC.
| 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.