BOULEVARD ADULT DAY CARE OF FLUSHING (NPI# 1952641128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952641128 |
| Entity Type | Organization |
| Organization Name | BOULEVARD ADULT DAY CARE OF FLUSHING |
| Practice Address |
4234 Saull St Flushing NY 11355-4543 |
| Mailing Address |
15813 72nd Ave Suite 2f Flushing NY 11365-1140 |
| Practice Telephone | 7184733929 |
| Mailing Telephone | 7183808882 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |
| Authorized Official Name | MR. DAVID MARX (MANAGING MEMBER) |
| Authorized Official Telephone | 7183808882 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134583123 | Boulevard Adult Day Care of Flushing | Clinic/Center | 4101 75th St, Elmhurst, NY 11373-1851 | 2016-04-06 |
| 1346760899 | Boulevard Adult Day Care of Flushing | Clinic/Center | 636 Louisiana Ave, Brooklyn, NY 11239-1526 | 2017-06-26 |
| 1336516954 | Boulevard Adult Day Care of Flushing | Clinic/Center | 15813 72nd Ave, 2f, Flushing, NY 11365-1140 | 2015-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BOULEVARD ADULT DAY CARE OF FLUSHING LLC | 158-13 72nd Ave., Flushing, New York 11365 |
| Street Address |
4234 SAULL ST |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
| Find all providers in zip 11355 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528683463 | Hanmaum Daycare LLC | Custodial Care Facility | 3238 148th St, Flushing, NY 11354-3259 | 2020-06-16 |
| 1902355431 | Livingwell Day Care Center LLC | Custodial Care Facility | 13781 Northern Blvd, Flushing, NY 11354-4320 | 2016-09-26 |
| 1710346069 | Day Day Up Adult Day Care Center Inc | Custodial Care Facility | 14228 38th Ave Fl 2, Flushing, NY 11354-5589 | 2016-02-15 |
| 1821478991 | Fdx2 Ventures LLC | Custodial Care Facility | 6484 N Seymour Rd, Flushing, MI 48433-1008 | 2015-06-04 |
| 1295166288 | Byungki Koo | Custodial Care Facility | 3710 149th Pl Apt 1b, Flushing, NY 11354-4964 | 2013-12-02 |
| 1518565944 | Sanford Home for Adults LLC | Custodial Care Facility | 14040 Sanford Ave, Flushing, NY 11355-2556 | 2020-10-16 |
| 1417406869 | Kang Hua Adult Daycare Center Inc | Custodial Care Facility | 4235 Main St, Suite 2g, Flushing, NY 11355-3956 | 2016-09-27 |
| 1588901508 | Finest Adult Day Care Center Inc | Custodial Care Facility | 13235 41st Rd, Suite 1a, Flushing, NY 11355-4113 | 2013-01-10 |
| 1558527374 | Woodman Enterprises, LLC | Custodial Care Facility | 14702 34th Ave, Flushing, NY 11354-3735 | 2008-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557828 | Kenwood Manor Inc | Custodial Care Facility | 141 Rockefeller Rd, Delmar, NY 12054-2221 | 2020-10-27 |
| 1336748383 | Jjj Yaut, LLC | Custodial Care Facility | 4806 Ny 52, Jeffersonville, NY 12748 | 2020-10-21 |
| 1538700158 | Parkview Hfa, Inc. | Custodial Care Facility | 3200 Bronx Blvd, Bronx, NY 10467-6305 | 2019-10-04 |
| 1457903437 | Prime Social Day Care | Custodial Care Facility | 1918 1st Ave 1st Floor, New York, NY 10029 | 2019-07-10 |
| 1477116457 | Caroline S Reuben | Custodial Care Facility | 17108 Jamaica Ave, Jamaica, NY 11432-5428 | 2019-04-16 |
| 1255898979 | Yan K Chan | Custodial Care Facility | 6504 Bay Pkwy, Brooklyn, NY 11204-3931 | 2019-02-28 |
| 1609357284 | Sun Sunshine Adult Daycare Ctr Inc | Custodial Care Facility | 738 58th St, Brooklyn, NY 11220-3917 | 2018-08-22 |
| 1285113548 | The House of Hope | Custodial Care Facility | 31 Standish Rd, Valley Stream, NY 11580-1131 | 2018-08-08 |
| 1083112940 | True Quality Care | Custodial Care Facility | 1616 Chili Ave, Rochester, NY 14624-3246 | 2018-01-25 |
| 1225547060 | Mark R LLC | Custodial Care Facility | 9608 Northern Blvd Fl 1, Corona, NY 11368-1046 | 2017-09-25 |
| Find all providers with the same taxonomy | ||||
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| 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.