Brockton Adult Day Care, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

BROCKTON ADULT DAY CARE, LLC

Practice address

764 N Main St
Brockton, MA 02301-2443

Phone

(508) 897-0600

NPI assigned

Feb 18, 2008

Organization subpart

No

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

Authorized official

Name

Chrissie Schettini

Title

Program Director

Phone

(508) 294-8756

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1114195757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 N MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012443",
            "telephone_number": "508-897-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 N MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012443",
            "telephone_number": "508-897-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKTON ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "SCHETTINI",
        "authorized_official_first_name": "CHRISSIE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "508-294-8756"
    },
    "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": "1906739",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brightlight Healthcare LLC
• Sharmela Brijmohan, M.D
• Priscilla Ashley Brinson-Thompson
• Christopher Brissette
• Jaza Broadwater
• Brockton Adult Medical Day Care Center II, Inc
• Brockton Adult Medical Day Care Center, Inc
• Brockton Area Associaton for Retarded Citizens, Inc
• Brockton Area Multi-Services, Inc.
• Brockton Area Multi-Services, Inc.

• Adult Day Care Clinic/Center in Brockton, MA
• Providers in Brockton, MA by specialty
• Adult Day Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.