Mid County Senior Services

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

301430 Issued in PA

Legal business name

MID COUNTY SENIOR SERVICES

Practice address

1500 Garrett Rd
Barclay Square Adult Day Services
Upper Darby, PA 19082-4519

Phone

(610) 626-0662

Fax

(610) 626-0668

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lesa Sulimay

Title

Executive Director

Phone

(610) 353-6642

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Mid County Senior Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mid County Senior Services

  • Adult Day Care Clinic/Center
  • Broomall, PA
  • NPI 1164581062
  NPD tax ID

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487713384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MEDIA LINE RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734601",
            "telephone_number": "610-353-6642",
            "fax_number": "610-353-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GARRETT RD",
            "address_2": "BARCLAY SQUARE ADULT DAY SERVICES",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824519",
            "telephone_number": "610-626-0662",
            "fax_number": "610-626-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID COUNTY SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULIMAY",
        "authorized_official_first_name": "LESA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-353-6642",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "PA",
            "license": "301430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000058970002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000058970006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Upper Darby, PA
• Providers in Upper Darby, PA by specialty
• Adult Day Care Clinic/Center in Pennsylvania

• 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.