NPIMap

Organization Active NPI

Lancaster Adult Day Health Care

  • Adult Day Care Clinic/Center
  • Lancaster, CA
National Provider Identifier
1689870024
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
060000691 Issued in CA
Legal business name
LANCASTER ADULT DAY HEALTH CARE
Doing business as
Lancaster Adult Day Health Care
Practice address
858 W. Jackman
Suite #101
Lancaster, CA 93534
Phone
(661) 948-1228
Fax
(661) 948-8109
NPI assigned
Jun 22, 2007
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ANTELOPE VALLEY COMMUNITY CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Mr. James A Cook
Title
C.E.O.
Phone
(661) 942-2391

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA
Adult Day Care Clinic/Center 261QA0600X 060000691 CA Primary

Addresses

Primary practice location

858 W. Jackman
Suite #101
Lancaster, CA 93534

Mailing address

45104 10TH Street West
Lancaster, CA 93534
Phone (661) 942-2391

Other identifiers 2

IdentifierTypeStateIssuer
ADU70254GMedicaidCA
CMCSUBKMNMedicaidCA

Other names 1

  • Lancaster Adult Day Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Antelope Valley Community Clinic5 organizations share this tax ID, including this one
Part of
Antelope Valley Community Clinic

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1689870024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45104 10TH STREET WEST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-942-2391",
            "fax_number": "661-902-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 W. JACKMAN",
            "address_2": "SUITE #101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-948-1228",
            "fax_number": "661-948-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER ADULT DAY HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANTELOPE VALLEY COMMUNITY CLINIC",
        "enumeration_date": "2007-06-22",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "661-942-2391",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70254G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMCSUBKMN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lancaster Adult Day Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.