Organization Active NPI

Zabota Community Center, Inc.

  • Adult Day Care Clinic/Center
  • Lynn, MA
National Provider Identifier
1316093339
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ZABOTA COMMUNITY CENTER, INC.
Practice address
191 N Common St
Lynn, MA 01905-2547
Phone
(781) 595-3200
Fax
(781) 595-3207
NPI assigned
Jan 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gennadiy Itskin
Title
Director
Phone
(781) 595-3200

Specialties & licenses 1

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

Addresses

Primary practice location

191 N Common St
Lynn, MA 01905-2547

Mailing address

191 N Common St
Lynn, MA 01905-2547
Phone (781) 595-3200

Other identifiers 1

IdentifierTypeStateIssuer
1903471MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Zabota Community Center Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316093339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 N COMMON ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019052547",
            "telephone_number": "781-595-3200",
            "fax_number": "781-595-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 N COMMON ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019052547",
            "telephone_number": "781-595-3200",
            "fax_number": "781-595-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZABOTA COMMUNITY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ITSKIN",
        "authorized_official_first_name": "GENNADIY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "781-595-3200"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1903471",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • 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.