Organization Active NPI

Andover Adhc LLC

  • Adult Day Care Clinic/Center
  • North Andover, MA
National Provider Identifier
1639905698
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ANDOVER ADHC LLC
Practice address
300 Willow St Ste 1
North Andover, MA 01845-5912
Phone
(978) 475-0333
NPI assigned
Sep 9, 2024
Last updated
Sep 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Mr. Yang Lei
Title
Owner
Phone
(978) 475-0333

Specialties & licenses 1

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

Addresses

Primary practice location

300 Willow St Ste 1
North Andover, MA 01845-5912

Mailing address

300 Willow St Ste 1
North Andover, MA 01845-5912
Phone (978) 475-0333

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2317691Andover Adhc LLC300 Willow St Unit 1, North Andover, MA 01845Certificate of waiverJan 28, 2027

National Provider Directory

National Provider Directory

Locations

300 Willow St
Ste 1
North Andover, MA 01845
Phone (978) 475-0333

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1639905698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WILLOW ST STE 1",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455912",
            "telephone_number": "978-475-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WILLOW ST STE 1",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455912",
            "telephone_number": "978-475-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOVER ADHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "LEI",
        "authorized_official_first_name": "YANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-475-0333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.

Verify at the official NPI Registry.