Brockton Adult Medical Day Care Center II, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

BROCKTON ADULT MEDICAL DAY CARE CENTER II, INC

Practice address

55 City Hall PLZ
Brockton, MA 02301-4341

Phone

(508) 586-2222

Fax

(508) 586-2212

NPI assigned

Jun 11, 2015

Organization subpart

No

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

Authorized official

Name

Michelle Bodoin, PD

Title

Administrator

Phone

(508) 586-2222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1326429820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CITY HALL PLZ",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014341",
            "telephone_number": "508-586-2222",
            "fax_number": "508-586-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CITY HALL PLZ",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014341",
            "telephone_number": "508-586-2222",
            "fax_number": "508-586-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKTON ADULT MEDICAL DAY CARE CENTER II, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "BODOIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-586-2222",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharmela Brijmohan, M.D
• Priscilla Ashley Brinson-Thompson
• Christopher Brissette
• Jaza Broadwater
• Brockton Adult Day Care, LLC
• Brockton Adult Medical Day Care Center, Inc
• Brockton Area Associaton for Retarded Citizens, Inc
• Brockton Area Multi-Services, Inc.
• Brockton Area Multi-Services, Inc.
• Brockton Cardiology Associates, PC

• Adult Day Care Clinic/Center in Brockton, MA
• Providers in Brockton, 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 Jun 11, 2015; 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.