NPIMap

Organization Active NPI

Mary Immaculate Adult Day Health Center, Inc.

  • Adult Day Care Clinic/Center
  • Lawrence, MA
National Provider Identifier
1053446484
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MARY IMMACULATE ADULT DAY HEALTH CENTER, INC.
Practice address
200 Essex St
Lawrence, MA 01840-1512
Phone
(978) 685-2727
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Barbara E. Grant
Title
Ceo/President
Phone
(978) 685-6321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

200 Essex St
Lawrence, MA 01840-1512

Mailing address

172 Lawrence St
Lawrence, MA 01841-3849
Phone (978) 685-6321

Other identifiers 2

IdentifierTypeStateIssuer
1903667MedicaidMA
6000235OtherMAEVERCARE

Other names 1

  • MI ADHC Satte lite Other name

National Provider Directory

National Provider Directory
Tax ID family
Mary Immaculate Adult Day Health II3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Essex St
Lawrence, MA 01840
Phone (978) 685-2727

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1053446484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 LAWRENCE ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018413849",
            "telephone_number": "978-685-6321",
            "fax_number": "978-675-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401512",
            "telephone_number": "978-685-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY IMMACULATE ADULT DAY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "978-685-6321",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1903667",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "6000235",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MI ADHC Satte lite",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.