FIESTA ADULT DAYCARE LLC – NPI #1306192042
Clinic/Center

FIESTA ADULT DAYCARE LLC is an AHC clinic located in BROOKLYN, NY. NPPES has assigned the NPI number 1306192042 to FIESTA ADULT DAYCARE LLC on July 31, 2012. 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 previously updated about 3 years ago on Nov 28, 2023. 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 FIESTA ADULT DAYCARE LLC below.

NPI Profile for
FIESTA ADULT DAYCARE LLC

NPI Number
1306192042
Enumeration Date

(about 14 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
FIESTA ADULT DAYCARE LLC
Primary location
76 WEST BRIGHTON AVE, SUITE 202
BROOKLYN, NY 11224
Phone: (718) 996-0456 Fax: (718) 228-8999
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TATYANA ELBERG
ADMINISTRATOR
Phone: (917) 865-6602
Updated
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.