NPIMap

Organization Active NPI

Adult Day Health, Inc.

Doing business as North Shore Haitian Adult Day Health

  • Adult Day Care Clinic/Center
  • Malden, MA
National Provider Identifier
1235586587
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.
Doing business as
North Shore Haitian Adult Day Health
Practice address
263 Commercial St
Malden, MA 02148-6708
Phone
(617) 680-9703
NPI assigned
May 17, 2016
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 NU Primary

Addresses

Primary practice location

263 Commercial St
Malden, MA 02148-6708

Mailing address

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

Other names 1

  • North Shore Haitian 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
22D2115914North Shore Haitian Adult Day Health Center263 Commercial St, Malden, MA 02148Certificate of waiverJul 14, 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

Locations

225 Foxborough Blvd
Ste 103
Foxborough, MA 02035
Phone (508) 733-2552

263 Commercial St
Malden, MA 02148
Phone (617) 680-9703

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1235586587",
    "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": "263 COMMERCIAL ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486708",
            "telephone_number": "617-680-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT DAY HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADULT DAY HEALTH, INC.",
        "enumeration_date": "2016-05-17",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore Haitian Adult Day Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malden, 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.