HEAVENLY CREATIONS ADULT DAY CARE LLC
NPI 1871912113
Clinic/Center - Adult Day Care in Queens Village, NY

Active since April 15, 2014
22008 109TH AVE, QUEENS VILLAGE, NY 11429(917) 226-7249 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heavenly Creations Adult Day Care Llc NPPES

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

HEAVENLY CREATIONS ADULT DAY CARE LLC (NPI 1871912113) is a healthcare organization registered as an adult day care in Queens Village, New York and active in the NPI registry since April 2014. The organization lists Maxine R Harris, Director/owner, as its authorized official.

NPPES Registry Identity

NPI1871912113
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameHEAVENLY CREATIONS ADULT DAY CARE LLC
Location Address22008 109TH AVEQueens Village, NY 11429-2515
Mailing Address22008 109th AveQueens Village, NY 11429-2515 · (917) 226-7249
Organization SubpartNo
Authorized OfficialMaxine R HarrisDirector/owner · (917) 226-7249
Enumeration DateApril 15, 2014
NPI 1871912113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
22008 109TH AVE, Queens Village, NY 11429

Other Identifiers 1

Medicaid1023377611NY

Other Providers at the Same Location NPPES

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

Home Health
22008 109TH AVE
QUEENS VILLAGE, NY 11429

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 Heavenly Creations Adult Day Care LLC's NPI number?

The NPI number for Heavenly Creations Adult Day Care LLC is 1871912113. It was assigned to this organization in the NPPES registry on April 15, 2014.

Where is Heavenly Creations Adult Day Care LLC located?

Heavenly Creations Adult Day Care LLC is located at 22008 109th Ave, Queens Village, NY 11429. The listed phone number is (917) 226-7249.

What is Heavenly Creations Adult Day Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Heavenly Creations Adult Day Care LLC was last updated on April 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.