Active NPIOrganization

Fiesta Adult Daycare LLC

Clinic/Center, Adult Day Care in Staten Island, New York

NPI Number1952276065
Practice location
2200 Victory Blvd Fl 2, Staten Island, NY 10314-6624
Fax
718-228-8999
Last updated
October 8, 2025

Fiesta Adult Daycare LLC is a healthcare organization based in Staten Island, NY. Fiesta Adult Daycare LLC practices in Staten Island, NY. The NPI Number for Fiesta Adult Daycare LLC is 1952276065. The current practice location address for Fiesta Adult Daycare LLC is 2200 Victory Blvd Fl 2, Staten Island, NY 10314-6624 and can be reached out via phone at 718-814-0555 and via fax at 718-228-8999.

Provider Profile Details

NPI Number
1952276065
Provider Name
Fiesta Adult Daycare LLC
Provider Entity Type
Organization
Address
2200 Victory Blvd Fl 2, Staten Island, NY 10314-6624
Phone Number
718-814-0555
Fax Number
718-228-8999
Primary Taxonomy
Clinic/Center, Adult Day Care · 261QA0600X
Organization Subpart
No
Authorized Official
Tatyana F Elberg · Administrator · 718-996-0456
Provider Enumeration Date
October 8, 2025
Last Update Date
October 8, 2025
Certification Date
October 8, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2200 Victory Blvd Fl 2
Staten Island, NY 10314-6624
Zip
10314-6624
Phone Number
718-814-0555
Fax Number
718-228-8999
Staten Island, NY 10314Get directions →

Provider Business Mailing Address Details

Address
2200 Victory Blvd Fl 2
Staten Island, NY 10314-6624
City
Staten Island
State
NY
Zip
10314-6624
Phone Number
718-814-0555
Fax Number
718-228-8999

License Information

Taxonomy
Clinic/Center, Adult Day Care · 261QA0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Fiesta Adult Daycare LLC?

The NPI number of Fiesta Adult Daycare LLC is 1952276065. It was assigned on October 8, 2025 and is currently active in the NPPES registry.

What is the specialty of Fiesta Adult Daycare LLC?

Fiesta Adult Daycare LLC is registered under the primary taxonomy Clinic/Center, Adult Day Care (code 261QA0600X).

Where does Fiesta Adult Daycare LLC practice?

The practice location is 2200 Victory Blvd Fl 2, Staten Island, NY 10314-6624. The office can be reached at 718-814-0555 (phone) or 718-228-8999 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952276065 directly on the NPPES registry website.

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