NPIMap

Organization Active NPI

Adult Day Health, Inc.

Doing business as Aging Well Adult Day Health Center

  • Adult Day Care Clinic/Center
  • Marlborough, MA
National Provider Identifier
1205352291
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
DZE4 Issued in MA
Legal business name
ADULT DAY HEALTH, INC.
Doing business as
Aging Well Adult Day Health Center
Practice address
420 Maple St
Marlborough, MA 01752-6202
Phone
(508) 482-7700
Fax
(508) 485-7702
NPI assigned
Aug 21, 2017
Last updated
Aug 15, 2024By the provider in NPPES
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 DZE4 MA Primary

Addresses

Primary practice location

420 Maple St
Marlborough, MA 01752-6202

Mailing address

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

Other names 1

  • Aging Well Adult Day Health Center 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
22D2107886Aging Well Adult Day Health Center420 Maple St, Marlboro, MA 01752Certificate of waiverJan 24, 2028

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": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1205352291",
    "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": "420 MAPLE ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017526202",
            "telephone_number": "508-482-7700",
            "fax_number": "508-485-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT DAY HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADULT DAY HEALTH, INC.",
        "enumeration_date": "2017-08-21",
        "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": "MA",
            "license": "DZE4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aging Well Adult Day Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlborough, 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.