Organization Active NPI

Lotus Adult Day Health Center, LLC

  • Adult Day Care Clinic/Center
  • Revere, MA
National Provider Identifier
1548080641
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Jose Aguilar, FNP-CNPI 1972238897
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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.