Active NPI
Vitra Adult Day Health I, LLC
- Adult Day Care Clinic/Center
- Brockton, MA
National Provider Identifier
1639718596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- VITRA ADULT DAY HEALTH I, LLC
- Practice address
- 10 N Pearl St
Brockton, MA 02301-1708 - Phone
- (508) 594-8708
- NPI assigned
- Dec 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Spivak
- Title
- Manager
- Phone
- (508) 594-8288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
10 N Pearl St
Brockton, MA 02301-1708
Mailing address
10 N Pearl St
Brockton, MA 02301-1708
Phone (508) 594-8708
Other names 1
- Vitra Adult Day Health
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2176215 | Vitra Adult Day Health | Certificate of waiver | Oct 21, 2026 |
National Provider Directory
National Provider DirectoryLocations
10 N Pearl St
Brockton, MA 02301
Phone (508) 584-6300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577145600000",
"number": "1639718596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 N PEARL ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011708",
"telephone_number": "508-594-8708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 N PEARL ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011708",
"telephone_number": "508-594-8708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITRA ADULT DAY HEALTH I, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-24",
"last_updated": "2019-12-24",
"certification_date": "2019-12-24",
"status": "A",
"authorized_official_last_name": "SPIVAK",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "508-594-8288"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vitra Adult Day Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.