Provider Demographics
NPI:1265393532
Name:CHAUTAUQUA ADULT DAY CARE CENTERS, INC
Entity type:Organization
Organization Name:CHAUTAUQUA ADULT DAY CARE CENTERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:N
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-485-6120
Mailing Address - Street 1:358 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-5550
Mailing Address - Country:US
Mailing Address - Phone:716-485-6120
Mailing Address - Fax:
Practice Address - Street 1:733 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:NY
Practice Address - Zip Code:14048-2504
Practice Address - Country:US
Practice Address - Phone:716-366-8786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHAUTAUQUA ADULT DAY CARE CENTERS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care