Organization Active NPI

Lutz Center Adult Day Services

  • Adult Day Care Clinic/Center
  • Nevada City, CA
National Provider Identifier
1396837910
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
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

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
Francine M Novak
Title
Business/Program Manager
Phone
(530) 265-0605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ADU70090GMedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.