Active NPI
Lotus Adult Day Health Center, LLC
- Adult Day Care Clinic/Center
- Revere, MA
National Provider Identifier
1548080641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- LOTUS ADULT DAY HEALTH CENTER, LLC
- Practice address
- 14 Allston St Apt 1
Revere, MA 02151-5271 - Phone
- (781) 690-6797
- NPI assigned
- Oct 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Aguilar, FNP-C
- Title
- Co-Owner/Member
- Phone
- (781) 690-6797
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
14 Allston St Apt 1
Revere, MA 02151-5271
Mailing address
14 Allston St Apt 1
Revere, MA 02151-5271
Phone (781) 690-6797
Other names 1
- Lotus Adult Day
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Salem, MA
- NPI 1972238897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728864000000",
"number": "1548080641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 ALLSTON ST APT 1",
"city": "REVERE",
"state": "MA",
"postal_code": "021515271",
"telephone_number": "781-690-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 ALLSTON ST APT 1",
"city": "REVERE",
"state": "MA",
"postal_code": "021515271",
"telephone_number": "781-690-6797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOTUS ADULT DAY HEALTH CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-14",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A",
"authorized_official_last_name": "AGUILAR",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "CO-OWNER/MEMBER",
"authorized_official_telephone_number": "781-690-6797",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lotus Adult Day",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Revere, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.