Active NPI
Dacha Corp.
Doing business as Dacha Adult Daycare
- Adult Day Care Clinic/Center
- Philadelphia, PA
National Provider Identifier
1629526728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 313340
- 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, 2021
- Organization subpart
- Yes
- Parent organization
- ADULT CARE ENTERPRISES, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018622260002 | Medicaid | PA |
Other names 1
- Dacha Adult Daycare
National Provider Directory
National Provider DirectoryLocations
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.