Main Line Adult Day Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

281330 Issued in PA

Legal business name

MAIN LINE ADULT DAY CENTER

Practice address

119 Radnor St
Bryn Mawr, PA 19010-3506

Phone

(610) 527-4220

Fax

(610) 527-6071

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lesa Sulimay

Title

Executive Director

Phone

(610) 353-6642

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215096102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 RADNOR ST",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103506",
            "telephone_number": "610-527-4220",
            "fax_number": "610-527-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 RADNOR ST",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103506",
            "telephone_number": "610-527-4220",
            "fax_number": "610-527-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULIMAY",
        "authorized_official_first_name": "LESA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-353-6642",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "PA",
            "license": "281330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000050820002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000050820003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Thomas Madison, DO
• George Magakis Jr., PHD
• Ennio Magnarelli, RPH
• Jana Marie Mahon, PA-C
• Thy Mai, DO
• Main Line Clinical Laboratories
• Main Line Counseling Partners
• Main Line Family Dentistry
• Main Line Family Practice
• Main Line Fertility & Reproductive Med LTD

• Adult Day Care Clinic/Center in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Adult Day Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.