Organization Active NPI

Dacha Corp.

Doing business as Dacha Adult Daycare

  • Adult Day Care Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1629526728
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
313340 Issued in PA
Legal business name
DACHA CORP.
Doing business as
Dacha Adult Daycare
Practice address
250 Geiger Rd
Philadelphia, PA 19115-1008
Phone
(215) 677-7707
Fax
(215) 677-7708
NPI assigned
Sep 17, 2016
Last updated
Jun 2, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ADULT CARE ENTERPRISES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Mr. Joseph Statter
Title
Ceo
Phone
(703) 967-6801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 313340 PA Primary

Addresses

Primary practice location

250 Geiger Rd
Philadelphia, PA 19115-1008

Mailing address

250 Geiger Rd
Philadelphia, PA 19115-1008
Phone (215) 677-7707

Other identifiers 1

IdentifierTypeStateIssuer
0018622260002MedicaidPA

Other names 1

  • Dacha Adult Daycare Doing business as

National Provider Directory

National Provider Directory

Locations

250 Geiger Rd
Philadelphia, PA 19115
Phone (215) 464-2060

NPI Registry JSON

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

{
    "created_epoch": "1474070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1629526728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GEIGER RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151008",
            "telephone_number": "215-677-7707",
            "fax_number": "215-677-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 GEIGER RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151008",
            "telephone_number": "215-677-7707",
            "fax_number": "215-677-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DACHA CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADULT CARE ENTERPRISES, INC.",
        "enumeration_date": "2016-09-17",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "STATTER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-967-6801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "PA",
            "license": "313340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018622260002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dacha Adult Daycare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dacha Adult Daycare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.