NPIMap

Organization Active NPI

Adult Day Health, Inc.

  • Adult Day Care Clinic/Center
  • Brockton, MA
National Provider Identifier
1205237237
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ADULT DAY HEALTH, INC.
Practice address
764 N Main St
Brockton, MA 02301-2443
Phone
(617) 790-4803
NPI assigned
Sep 9, 2014
Organization subpart
Yes
Parent organization
ADULT DAY HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Susan R Redd-Garcelon, RN
Title
VP Quality Improvement
Phone
(508) 618-7952

Specialties & licenses 1

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

Addresses

Primary practice location

764 N Main St
Brockton, MA 02301-2443

Mailing address

225 Foxborough Blvd Ste 103
Foxborough, MA 02035-3062
Phone (508) 618-7952

Other names 1

  • Brockton Adult Day Health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2106776Brockton Adult Day Health764 North Main Street, Brockton, MA 02301Certificate of waiverDec 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Adult Day Health Inc49 organizations share this tax ID, including this one
Part of
Adult Day Health Inc

Other organizations with this tax ID 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1205237237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 FOXBOROUGH BLVD STE 103",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020353062",
            "telephone_number": "508-618-7952",
            "fax_number": "774-215-5708"
        },
        {
            "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": "617-790-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT DAY HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADULT DAY HEALTH, INC.",
        "enumeration_date": "2014-09-09",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "REDD-GARCELON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP QUALITY IMPROVEMENT",
        "authorized_official_telephone_number": "508-618-7952",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brockton Adult Day Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.