Provider Demographics
NPI:1275422552
Name:KHIDMAT ADULT DAY CARE LLC
Entity type:Organization
Organization Name:KHIDMAT ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MALAIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHURAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-902-9286
Mailing Address - Street 1:2033 78TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-1426
Mailing Address - Country:US
Mailing Address - Phone:718-902-9286
Mailing Address - Fax:
Practice Address - Street 1:2033 78TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-1426
Practice Address - Country:US
Practice Address - Phone:718-902-9286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services