Active NPI
Lifelong Medical Care
Doing business as Marin Adult Day Health Center
- Adult Day Care Clinic/Center
- Novato, CA
National Provider Identifier
1487814349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- LIFELONG MEDICAL CARE
- Doing business as
- Marin Adult Day Health Center
- Practice address
- 1905 Novato Blvd
Novato, CA 94947-2912 - Phone
- (415) 897-6884
- NPI assigned
- Jun 13, 2008
- Last updated
- Nov 18, 2011
- Organization subpart
- Yes
- Parent organization
- LIFELONG MEDICAL CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marty Lynch
- Title
- Chief Executive Officer
- Phone
- (510) 981-4123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | NU | Primary |
Addresses
Primary practice location
1905 Novato Blvd
Novato, CA 94947-2912
Mailing address
1905 Novato Blvd
Novato, CA 94947-2912
Other names 1
- Marin Adult Day Health Center
National Provider Directory
National Provider Directory- Part of
- Lifelong Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321574400000",
"number": "1487814349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 NOVATO BLVD",
"city": "NOVATO",
"state": "CA",
"postal_code": "949472912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 NOVATO BLVD",
"city": "NOVATO",
"state": "CA",
"postal_code": "949472912",
"telephone_number": "415-897-6884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFELONG MEDICAL CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFELONG MEDICAL CARE",
"enumeration_date": "2008-06-13",
"last_updated": "2011-11-18",
"status": "A",
"authorized_official_last_name": "LYNCH",
"authorized_official_first_name": "MARTY",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "510-981-4123"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Marin Adult Day Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.