Andres Adult Day Program LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ANDRES ADULT DAY PROGRAM LLC

Practice address

550 Oak Hill Rd
Fitchburg, MA 01420-4818

Phone

(857) 249-9398

NPI assigned

Nov 29, 2024

Last updated

Dec 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shary PenaNPI 1194548883

Title

Owner

Phone

(857) 249-9398

Specialties & licenses 1

Addresses

Other names 1

• Andres Adult Day Program LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shary Pena

  • Case Manager/Care Coordinator
  • Springfield, MA
  • NPI 1194548883

  Adult Day Care

  NPD Authorized official

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1407672900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 OAK HILL RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204818",
            "telephone_number": "857-249-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 OAK HILL RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204818",
            "telephone_number": "857-249-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRES ADULT DAY PROGRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-29",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "SHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-249-9398"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andres Adult Day Program LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Emelia Amfo-Acheampomaah
• Pooja Amin
• Charles S. Anderson Jr., MA, LMHC.
• Chloe Anderson, BA
• Jennelle Anderson, CNP
• Nicole Andreucci
• Jainny Carolina Andrews
• Scott Nelson Andrews, PH.D.
• Dajia Angell, PA-C
• Angels of Autism

• Adult Day Care Clinic/Center in Fitchburg, MA
• Providers in Fitchburg, 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 Dec 6, 2024; 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.