Lynn Community Elder Services

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

LYNN COMMUNITY ELDER SERVICES

Practice address

112 Kernwood Dr
Lynn, MA 01904-1711

Phone

(781) 598-4570

Fax

(781) 598-5421

NPI assigned

Oct 18, 2010

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Libby

Title

Cfo

Phone

(781) 586-8571

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Lynn Community Elder Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lynn Community Elder Services

  • Adult Day Care Clinic/Center
  • Lynn, MA
  • NPI 1518094077
  NPD tax ID

Locations

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215247861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SILSBEE ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011404",
            "telephone_number": "781-599-0110",
            "fax_number": "781-593-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 KERNWOOD DR",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019041711",
            "telephone_number": "781-598-4570",
            "fax_number": "781-598-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN COMMUNITY ELDER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LIBBY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-586-8571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110032749A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110032749B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles K Lwang, RN
• Diane C Ly
• Takeiya Lynch, MD
• Lynn Adhc (Lynn Adult Day Care Center)
• Lynn Board of Health
• Lynn Community Elder Services
• Lynn Community Health Center
• Lynn Community Health Center
• Lynn Community Health, Inc.
• Lynn Community Health, Inc.

• Adult Day Care Clinic/Center in Lynn, MA
• Providers in Lynn, 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 Jul 21, 2022; 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.