Provider Demographics
NPI:1861385882
Name:ROOTS OF ROCKLAND DAY CENTER, INC
Entity type:Organization
Organization Name:ROOTS OF ROCKLAND DAY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-461-3116
Mailing Address - Street 1:17 PARLIAMENT DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-6905
Mailing Address - Country:US
Mailing Address - Phone:845-461-3116
Mailing Address - Fax:
Practice Address - Street 1:17 PARLIAMENT DR
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-6905
Practice Address - Country:US
Practice Address - Phone:845-461-3116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care