Active NPI
Lutz Center Adult Day Services
- Adult Day Care Clinic/Center
- Nevada City, CA
National Provider Identifier
1396837910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- LUTZ CENTER ADULT DAY SERVICES
- Practice address
- 138 New Mohawk Rd
Suite B 1
Nevada City, CA 95959-3262 - Phone
- (530) 265-0605
- Fax
- (530) 265-3167
- NPI assigned
- Sep 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Francine M Novak
- Title
- Business/Program Manager
- Phone
- (530) 265-0605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | CA | Primary |
Addresses
Primary practice location
138 New Mohawk Rd
Suite B 1
Nevada City, CA 95959-3262
Mailing address
138 New Mohawk Rd
Suite B 1
Nevada City, CA 95959-3262
Phone (530) 265-0605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ADU70090G | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
138 New Mohawk Rd
Ste B
Nevada City, CA 95959
Phone (530) 265-0605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396837910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 NEW MOHAWK RD",
"address_2": "SUITE B 1",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959593262",
"telephone_number": "530-265-0605",
"fax_number": "530-265-3167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 NEW MOHAWK RD",
"address_2": "SUITE B 1",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959593262",
"telephone_number": "530-265-0605",
"fax_number": "530-265-3167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTZ CENTER ADULT DAY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NOVAK",
"authorized_official_first_name": "FRANCINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "BUSINESS/PROGRAM MANAGER",
"authorized_official_telephone_number": "530-265-0605"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ADU70090G",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nevada City, CA
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.