Brookfield Adult Day Care Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

BROOKFIELD ADULT DAY CARE INC

Doing business as

BH New Bedford ADH

Practice address

397 County Street
New Bedford, MA 02740-4998

Phone

(508) 997-9396

Fax

(508) 990-3336

NPI assigned

Aug 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Klock

Title

President

Phone

(978) 948-7383

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BH New Bedford ADH Doing business as

Locations

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609985225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SUMMER STREET",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 COUNTY STREET",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027404998",
            "telephone_number": "508-997-9396",
            "fax_number": "508-990-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD ADULT DAY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLOCK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-948-7383"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905244",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BH New Bedford ADH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janelle Brisson
• Ivan Brito
• Kerri Britto
• Shannon Britto
• Gregg Donald Brofer
• Shannon L Brooks, RN
• Betty J Brosseau
• Susan C. Broughton, APRN, CNS
• Lori-Anne Brouillette, OTR/L
• Danielle Brown Isom

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