Provider Demographics
NPI:1588442180
Name:ST JOSEPH ADULT DAYCARE CORPORATION
Entity type:Organization
Organization Name:ST JOSEPH ADULT DAYCARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMEER
Authorized Official - Middle Name:
Authorized Official - Last Name:KRASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-300-7902
Mailing Address - Street 1:42 STRAWTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-1823
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:42 STRAWTOWN RD
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-1823
Practice Address - Country:US
Practice Address - Phone:845-300-7902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care