Provider Type Icon

DAUGHTERS OF JACOB ADULT DAY CARE PROGRAM NPI 1699811166


NPI Information

NPI: 1699811166
Provider Name: DAUGHTERS OF JACOB ADULT DAY CARE PROGRAM
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
1160 TELLER AVE
BRONX, NY
ZIP 10456
Phone: (718) 293-1500
Get Directions

DAUGHTERS OF JACOB ADULT DAY CARE PROGRAM is an adult day care clinic center in Bronx, NY. DAUGHTERS OF JACOB ADULT DAY CARE PROGRAM NPI is 1699811166. The provider is registered as an organization entity type.

The provider's business location address is:

1160 TELLER AVE
BRONX, NY
ZIP 10456-145
Phone: (718) 293-1500
Fax: (718) 992-7074

The provider's authorized official is Gilbert Manuel Preira .
The authorized official title is Executive Director and has the following contact phone number (718) 293-1500.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day Care7000342NNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101164130MEDICAIDNEW YORK

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.