Eagle Adult Day Care, LLC .

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

EAGLE ADULT DAY CARE, LLC .

Doing business as

EAGLE ADULT DAY CARE, LLC .

Practice address

294 Hamilton St
Worcester, MA 01604-2221

Phone

(508) 459-2999

Fax

(508) 459-2999

NPI assigned

Dec 4, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Pavlina Tollkuci, OWNER

Title

Director

Phone

(774) 239-2628

Specialties & licenses 1

Addresses

Other names 2

• EAGLE ADULT DAY CARE, LLC . Doing business as
• N/A Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1457127185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 HAMILTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016042221",
            "telephone_number": "508-459-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 HAMILTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016042221",
            "telephone_number": "508-459-2999",
            "fax_number": "508-459-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE ADULT DAY CARE, LLC .",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-09-05",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "TOLLKUCI",
        "authorized_official_first_name": "PAVLINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "774-239-2628",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAGLE ADULT DAY CARE, LLC .",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adult Day Care Clinic/Center in Worcester, MA
• Providers in Worcester, 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 Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.