Harborside Adult Day Health Center

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

1901745 Issued in MA

Legal business name

HARBORSIDE ADULT DAY HEALTH CENTER

Practice address

141 Bridge Rd # 4
Salisbury, MA 01952-2422

Phone

(978) 465-1980

Fax

(978) 462-6838

NPI assigned

Feb 27, 2007

Last updated

Mar 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip Rice

Title

Owner

Phone

(978) 372-8734

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1053448464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 BRIDGE RD # 4",
            "city": "SALISBURY",
            "state": "MA",
            "postal_code": "019522422",
            "telephone_number": "978-465-1980",
            "fax_number": "978-462-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 BRIDGE RD # 4",
            "city": "SALISBURY",
            "state": "MA",
            "postal_code": "019522422",
            "telephone_number": "978-465-1980",
            "fax_number": "978-462-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORSIDE ADULT DAY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-372-8734"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "MA",
            "license": "1901745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1901745",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.