1. Home
  2. Directory
  3. New York
  4. Flushing
  5. Custodial Care Facility
  6. NPI Profile

SANFORD HOME FOR ADULTS LLC
NPI 1518565944
Custodial Care Facility - Adult Care Home in Flushing, NY

Active since October 16, 2020CLIA 33D2196652 · Waiver
14040 SANFORD AVE, FLUSHING, NY 11355(718) 353-1400 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sanford Home For Adults Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANFORD HOME FOR ADULTS LLC (NPI 1518565944) is a healthcare organization registered as an adult care home in Flushing, New York and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jennifer Grajales, Project Manager, as its authorized official.

NPPES Registry Identity

NPI1518565944
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSANFORD HOME FOR ADULTS LLC
Location Address14040 SANFORD AVEFlushing, NY 11355-2556
Mailing Address2357 60th StBrooklyn, NY 11204-2689
Phone(718) 353-1400
Organization SubpartNo
Authorized OfficialJennifer GrajalesProject Manager · (347) 988-4535
Enumeration DateOctober 16, 2020
NPPES CertifiedOctober 16, 2020
✔ NPI 1518565944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
14040 SANFORD AVE, Flushing, NY 11355
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2196652

Sanford Home · Flushing, NY
Active · expires Mar 26, 2027
CLIA Number33D2196652
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 19, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Peyman E. Younesi
Laboratory Phone(718) 353-1400
Laboratory LocationSanford Home140-40 Sanford Ave, Flushing, NY 11355
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONI B BEER LCSW
Social Worker
14040 SANFORD AVE
FLUSHING, NY 11355
Queens County (718) 353-1400
JANELLE PERRY
Counselor (Mental Health)
14040 SANFORD AVE
QUEENS, NY 11355
Queens County (718) 939-7160
MS. JANIS M KASDIN LCSW
Social Worker (Clinical)
14040 SANFORD AVE
FLUSHING, NY 11355
Queens County (718) 939-7160
MS. JULIA RETTIG
Counselor (Mental Health)
14040 SANFORD AVE
FLUSHING, NY 11355
Queens County (718) 553-1100
MR. KAM YEUNG NG LMHC-D
Counselor (Mental Health)
14040 SANFORD AVE
FLUSHING, NY 11355
Queens County (718) 939-7160
FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC
Case Management
14040 SANFORD AVE
FLUSHING, NY 11355
Queens County (718) 375-1400
LEIGHANN DAVIS
Speech-Language Pathologist
14040 SANFORD AVE
FLUSHING, NY 11355
Queens County (718) 939-7160
SANFORD HOME CARE
Home Health
14040 SANFORD AVE
FLUSHING, NY 11355
Queens County (646) 730-4342

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanford Home For Adults LLC's NPI number?

The NPI number for Sanford Home For Adults LLC is 1518565944. It was assigned to this organization in the NPPES registry on October 16, 2020.

Where is Sanford Home For Adults LLC located?

Sanford Home For Adults LLC is located at 14040 Sanford Ave, Flushing, NY 11355. The listed phone number is (718) 353-1400.

What is Sanford Home For Adults LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Sanford Home For Adults LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2196652) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sanford Home For Adults LLC was last updated on October 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.