THE TOMMY EXPERIENCE NPI 1972977635

NPI Information

  • NPI: 1972977635
  • Provider Name: THE TOMMY EXPERIENCE
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • Doing Business As: TOMMY HOUSE SOCIAL DAY
  • Address: 27 E MERRICK RD
    2ND FLOOR
    VALLEY STREAM, NY
    ZIP 11580
  • Phone: (917) 488-3898

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NPI Details

THE TOMMY EXPERIENCE is an adult day care clinic center in Valley Stream, NY. THE TOMMY EXPERIENCE NPI is 1972977635. The provider is registered as an organization entity type.
The provider Is Doing Business As Tommy House Social Day.

The provider's business location address is:

27 E MERRICK RD
2ND FLOOR
VALLEY STREAM, NY
ZIP 11580-814
Phone: (917) 488-3898

The provider's authorized official is Thomas Mickens .
The authorized official title is President Ceo and has the following contact phone number (917) 488-3898.

The enumeration date for this NPI number is 11/18/2015 and was last updated on 11/18/2015.

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

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