Mary Immaculate Adult Day Health Center, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MARY IMMACULATE ADULT DAY HEALTH CENTER, INC.

Practice address

189 Maple St
Lawrence, MA 01841-3761

Phone

(978) 682-7575

Fax

(978) 691-5374

NPI assigned

Sep 30, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Barbara E. Grant

Title

Ceo/President

Phone

(978) 685-6321

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• MI ADHC Other name

Tax ID family

Mary Immaculate Adult Day Health II3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mary Immaculate Adult Day Health Center, Inc.

  • Adult Day Care Clinic/Center
  • Lawrence, MA
  • NPI 1053446484
  NPD tax ID
• Mary Immaculate Adult Day Health II

  • Adult Day Care Clinic/Center
  • Lawrence, MA
  • NPI 1912290081
  NPD tax ID

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1346237757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 LAWRENCE ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018413849",
            "telephone_number": "978-685-6321",
            "fax_number": "978-975-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 MAPLE ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018413761",
            "telephone_number": "978-682-7575",
            "fax_number": "978-691-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY IMMACULATE ADULT DAY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "978-685-6321",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "1901141",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1903667",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "6000235",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MI ADHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Evan Martinez
• Jury Martinez
• Rosa E Martinez
• Julia Martins Santiago
• Mary Immaculate Adult Day Health Center, Inc.
• Mary Immaculate Adult Day Health II
• Seyedeh Nina Masoom, M.D.
• Mass General Brigham Community Physicians Inc
• Mass General Brigham Community Physicians Inc.
• Mass General Brigham Community Physicians on Demand

• Adult Day Care Clinic/Center in Lawrence, MA
• Providers in Lawrence, 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 Aug 6, 2008; 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.