Organization Active NPI

Chariot Adult Day Health, Inc.

  • Adult Day Care Clinic/Center
  • Arlington, MA
National Provider Identifier
1184744120
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1903535 Issued in MA
Legal business name
CHARIOT ADULT DAY HEALTH, INC.
Practice address
20 Westminster Ave
Arlington, MA 02474-2733
Phone
(781) 646-1196
Fax
(781) 646-1196
NPI assigned
Mar 31, 2007
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Paul Patrick Wilgren, B.S GERONTOLOGY
Title
Program Director
Phone
(781) 646-1196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1903535 MA Primary

Addresses

Primary practice location

20 Westminster Ave
Arlington, MA 02474-2733

Mailing address

31 Lewis Ave
Arlington, MA 02474-3205

Other identifiers 1

IdentifierTypeStateIssuer
1903535MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1184744120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 LEWIS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024743205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WESTMINSTER AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024742733",
            "telephone_number": "781-646-1196",
            "fax_number": "781-646-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIOT ADULT DAY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "WILGREN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "781-646-1196",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S GERONTOLOGY"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MA",
            "license": "1903535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1903535",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.