Active NPI
Andover Adhc LLC
- Adult Day Care Clinic/Center
- North Andover, MA
National Provider Identifier
1639905698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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, 2024
- 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
- Mr. Yang Lei
- Title
- Owner
- Phone
- (978) 475-0333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 22D2317691 | Andover Adhc LLC | Certificate of waiver | Jan 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.