Revere Adult Day Health Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

REVERE ADULT DAY HEALTH CARE

Practice address

765 Revere Beach Pkwy
Revere, MA 02151-5318

Phone

(301) 370-4714

Fax

(301) 560-8270

NPI assigned

Aug 3, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Victoria Vinokur

Title

Manager

Phone

(301) 370-4714

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1174837033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 REVERE BEACH PKWY",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021515318",
            "telephone_number": "301-370-4714",
            "fax_number": "301-560-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 REVERE BEACH PKWY",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021515318",
            "telephone_number": "301-370-4714",
            "fax_number": "301-560-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERE ADULT DAY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "VINOKUR",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-370-4714",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Revere, MA
• Providers in Revere, 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 Aug 3, 2010; 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.