Brockton Adult Medical Day Care Center, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

1949667 Issued in MA

Legal business name

BROCKTON ADULT MEDICAL DAY CARE CENTER, INC

Practice address

25 Christy Dr
Brockton, MA 02301-1813

Phone

(508) 586-2222

Fax

(508) 586-2212

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Michelle A Castronovo

Title

Administrator

Phone

(508) 586-2222

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639294010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHRISTY DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011813",
            "telephone_number": "508-586-2222",
            "fax_number": "508-586-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHRISTY DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011813",
            "telephone_number": "508-586-2222",
            "fax_number": "508-586-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKTON ADULT MEDICAL DAY CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTRONOVO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-586-2222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MA",
            "license": "1949667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1949667",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priscilla Ashley Brinson-Thompson
• Christopher Brissette
• Jaza Broadwater
• Brockton Adult Day Care, LLC
• Brockton Adult Medical Day Care Center II, Inc
• Brockton Area Associaton for Retarded Citizens, Inc
• Brockton Area Multi-Services, Inc.
• Brockton Area Multi-Services, Inc.
• Brockton Cardiology Associates, PC
• Brockton Dental and Orthodontics PC

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