SI. SENIOR LIFESTYLE CENTER INC (NPI# 1760723621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760723621 |
| Entity Type | Organization |
| Organization Name | SI. SENIOR LIFESTYLE CENTER INC |
| Practice Address |
98 Port Richmond Ave Staten Island NY 10302 |
| Practice Telephone | 7182736200 |
| Mailing Telephone | 7182736200 |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |
| Authorized Official Name | MS. JOYCE CEN (PRESIDENT) |
| Authorized Official Telephone | 7182736200 |
| 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 |
98 PORT RICHMOND AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457888935 | Si.senior Lifestyle Center Inc | Health Maintenance Organization | 98 Port Richmond Ave, Staten Island, NY 10302-1344 | 2017-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494174 | Denasia Fitch | Student in an Organized Health Care Education/Training Program | 80 Willowbrook Rd, Staten Island, NY 10302 | 2019-08-26 |
| 1548752983 | Lawan Rickenbacker | Counselor | 28 Treadwell Ave, Staten Island, NY 10302 | 2018-06-01 |
| 1275059321 | Omolara Rachael Adediji | Nurse Practitioner | 210 Trantor Place, Apt 1d, Staten Island, NY 10302 | 2017-08-21 |
| 1558893479 | Joseph Wilson | Substance Abuse Rehabilitation Facility | 273 Heberton Avenue, Staten Island, NY 10302 | 2017-03-30 |
| 1902358864 | Natalie Valencia Toney-zubairu | Nurse Practitioner | Community Health Center of Richmond, 235 Port Richmond Ave, Staten Island, NY 10302 | 2016-10-26 |
| 1912453788 | Adewunmi Bankole | Registered Nurse | 124 Nicholas Avenue Apt B, Staten Island, NY 10302 | 2016-08-31 |
| 1154788974 | Eileen Patricia Cameron | Counselor | 263-267 Port Richmond Aveune, Staten Island, NY 10302 | 2016-01-25 |
| 1225468432 | Total Dental Care of Staten Island, P.C. | Dentist | 135 Willowbrook Road, Staten Island, NY 10302 | 2013-11-25 |
| 1962751255 | Kathleen Gomez-rodriguez | Speech-Language Pathologist | 12 Crystal Ave, Staten Island, NY 10302 | 2012-09-03 |
| 1508138355 | Georgener Winfield | Counselor | 263-267 Port Richmond Ave, Staten Island, NY 10302 | 2012-02-08 |
| Find all providers in zip 10302 | ||||
| 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 |
| 1255679403 | Happy Island Senior Center,llc | Clinic/Center | 1671 Hylan Blvd, Staten Island, NY 10305-1913 | 2013-01-23 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10302 |
Please comment or provide details below to improve the information on SI. SENIOR LIFESTYLE CENTER INC.
| 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.