Provider Demographics
NPI:1215439245
Name:UPBEAT ADULT DAY CARE INC.
Entity type:Organization
Organization Name:UPBEAT ADULT DAY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AMROM
Authorized Official - Middle Name:A
Authorized Official - Last Name:PASKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-960-0617
Mailing Address - Street 1:28 LORIMER ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-4878
Mailing Address - Country:US
Mailing Address - Phone:917-960-0617
Mailing Address - Fax:
Practice Address - Street 1:4312 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-3102
Practice Address - Country:US
Practice Address - Phone:917-960-0617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-06
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care