Lynn Zabota Adult Day Care, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

LYNN ZABOTA ADULT DAY CARE, INC.

Practice address

80 Exchange St
Lynn, MA 01901-1443

Phone

(781) 595-3200

Fax

(781) 595-3207

NPI assigned

Jul 13, 2007

Last updated

Aug 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gennadiy Itskin

Title

Program Director

Phone

(617) 839-8299

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1801095476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 EXCHANGE ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011443",
            "telephone_number": "781-595-3200",
            "fax_number": "781-595-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EXCHANGE ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011443",
            "telephone_number": "781-595-3200",
            "fax_number": "781-595-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN ZABOTA ADULT DAY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "ITSKIN",
        "authorized_official_first_name": "GENNADIY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "617-839-8299",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "1906712",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Lynn, MA
• Providers in Lynn, MA by specialty
• Adult Day Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.