Provider Demographics
NPI:1336964436
Name:TM SOCIAL ADULT DAYCARE INC.
Entity type:Organization
Organization Name:TM SOCIAL ADULT DAYCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMODOVOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-288-0263
Mailing Address - Street 1:704 THEMAR CT
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-3918
Mailing Address - Country:US
Mailing Address - Phone:718-288-0263
Mailing Address - Fax:
Practice Address - Street 1:13005 101ST AVE
Practice Address - Street 2:
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-1519
Practice Address - Country:US
Practice Address - Phone:718-288-0263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care