Provider Demographics
NPI:1316283153
Name:CROWN GARDEN ADULT DAYCARE CENTER INC.
Entity type:Organization
Organization Name:CROWN GARDEN ADULT DAYCARE CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ZIMING
Authorized Official - Middle Name:
Authorized Official - Last Name:SITU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-559-0356
Mailing Address - Street 1:1743 81ST ST LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-2268
Mailing Address - Country:US
Mailing Address - Phone:718-759-6180
Mailing Address - Fax:888-519-8161
Practice Address - Street 1:1743 81ST ST LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-2268
Practice Address - Country:US
Practice Address - Phone:917-559-0356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-26
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home