Otrada Adult Day Health Care Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

261QA0600X Issued in MA

Legal business name

OTRADA ADULT DAY HEALTH CARE CENTER

Practice address

185 2ND Ave
Needham, MA 02494-2810

Phone

(781) 433-9855

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Pearl Morgovsky

Title

Program Director

Phone

(781) 433-9855

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477610384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 2ND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942810",
            "telephone_number": "781-433-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 2ND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942810",
            "telephone_number": "781-433-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTRADA ADULT DAY HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORGOVSKY",
        "authorized_official_first_name": "PEARL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "781-433-9855"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MA",
            "license": "261QA0600X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905694",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Needham, MA
• Providers in Needham, 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 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.