Organization Active NPI

Colonial Adult Day Health

  • Adult Day Care Clinic/Center
  • Weymouth, MA
National Provider Identifier
1659490696
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
COLONIAL ADULT DAY HEALTH
Practice address
125 Broad St
Weymouth, MA 02188-2336
Phone
(781) 337-3121
Fax
(781) 337-9831
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Welch
Title
Vice President
Phone
(781) 878-6700

Specialties & licenses 1

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

Addresses

Primary practice location

125 Broad St
Weymouth, MA 02188-2336

Mailing address

125 Broad St
Weymouth, MA 02188-2336
Phone (781) 337-3121

Other identifiers 1

IdentifierTypeStateIssuer
1900340MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659490696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BROAD ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021882336",
            "telephone_number": "781-337-3121",
            "fax_number": "781-337-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BROAD ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021882336",
            "telephone_number": "781-337-3121",
            "fax_number": "781-337-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL ADULT DAY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-878-6700"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1900340",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

  • 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.