NPIMap

Organization Active NPI

Dyouville Adult Day Health Center

  • Adult Day Care Clinic/Center
  • Lowell, MA
National Provider Identifier
1861489718
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1960008 Issued in MA
Legal business name
DYOUVILLE ADULT DAY HEALTH CENTER
Practice address
981 Varnum Ave
Lowell, MA 01854-1913
Phone
(978) 454-5681
Fax
(978) 569-1083
NPI assigned
Oct 5, 2005
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
Mary George, R.N.
Title
Adh Director
Phone
(978) 454-5681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1960008 MA Primary

Addresses

Primary practice location

981 Varnum Ave
Lowell, MA 01854-1913

Mailing address

981 Varnum Ave
Lowell, MA 01854-1913
Phone (978) 454-5681

Other identifiers 1

IdentifierTypeStateIssuer
1960008MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
D Youville Senior Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861489718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018541913",
            "telephone_number": "978-454-5681",
            "fax_number": "978-569-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018541913",
            "telephone_number": "978-454-5681",
            "fax_number": "978-569-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYOUVILLE ADULT DAY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADH DIRECTOR",
        "authorized_official_telephone_number": "978-454-5681",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MA",
            "license": "1960008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1960008",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, 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.