CRYSTAL LAKE SENIOR DAYCARE, INC. – NPI #1154186542
Clinic/Center

CRYSTAL LAKE SENIOR DAYCARE, INC. is an AHC clinic located in BROOKLYN, NY. NPPES has assigned the NPI number 1154186542 to CRYSTAL LAKE SENIOR DAYCARE, INC. on February 15, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was last updated on Sep 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CRYSTAL LAKE SENIOR DAYCARE, INC. below.

NPI Profile for
CRYSTAL LAKE SENIOR DAYCARE, INC.

NPI Number
1154186542
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CRYSTAL LAKE SENIOR DAYCARE, INC.
Primary location
900 60TH STREET
BROOKLYN, NY 11219
Phone: (718) 500-4780 Fax: (718) 500-4841
Mailing address
900 60TH ST
BROOKLYN, NY 11219-4829
Phone: (718) 500-4780 Fax: (718) 500-4841
Organization Subpart
No
Authorized Official
LI CHEN
PRESIDENT
Phone: (917) 772-1655
Updated
Certification Date
Sep 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.