NPIMap

Organization Active NPI

Mary Immaculate Adult Day Health Center, Inc.

  • Adult Day Care Clinic/Center
  • Lawrence, MA
National Provider Identifier
1346237757
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

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

Addresses

Primary practice location

189 Maple St
Lawrence, MA 01841-3761

Mailing address

172 Lawrence St
Lawrence, MA 01841-3849
Phone (978) 685-6321

Other names 1

  • MI ADHC Other name

National Provider Directory

National Provider Directory
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.

Locations

189 Maple St
Lawrence, MA 01841
Phone (978) 682-7575

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MI ADHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

  • 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.