BLACK LOTUS NPI 1417671751

NPI Information

  • NPI: 1417671751
  • Provider Name: BLACK LOTUS
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • Address: 317 CLERMONT AVE
    BROOKLYN, NY
    ZIP 11205
  • Phone: (347) 494-0207

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NPI Details

BLACK LOTUS is an adult day care clinic center in Brooklyn, NY. BLACK LOTUS NPI is 1417671751. The provider is registered as an organization entity type.

The provider's business location address is:

317 CLERMONT AVE
BROOKLYN, NY
ZIP 11205-605
Phone: (347) 494-0207

The provider's authorized official is Anitra Bell .
The authorized official title is Ceo and has the following contact phone number (347) 494-0207.

The enumeration date for this NPI number is 9/29/2022 and was last updated on 9/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA0600XClinic/CenterAdult Day CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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