Active NPI
Elder and Adult Day Services
- Developmentally Disabled Services Day Training Agency
- Bellevue, WA
National Provider Identifier
1881019834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- ELDER AND ADULT DAY SERVICES
- Practice address
- 12831 NE 21St PL
Bellevue, WA 98005-1909 - Phone
- (425) 250-7030
- Fax
- (425) 881-8578
- NPI assigned
- Feb 27, 2014
- Last updated
- Feb 28, 2014
- 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. Jeffrey A Bradt, MA
- Title
- Ceo
- Phone
- (425) 250-7038
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
12831 NE 21St PL
Bellevue, WA 98005-1909
Mailing address
12831 NE 21St PL
Bellevue, WA 98005-1909
Phone (425) 250-7030
Other names 1
- EADS
National Provider Directory
National Provider Directory- Tax ID family
- Eads
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Respite Care
- Bellevue, WA
- NPI 1225446453
Locations
12831 NE 21st Pl
Bellevue, WA 98005
Phone (425) 250-7030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393545600000",
"number": "1881019834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12831 NE 21ST PL",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051909",
"telephone_number": "425-250-7030",
"fax_number": "425-881-8578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12831 NE 21ST PL",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051909",
"telephone_number": "425-250-7030",
"fax_number": "425-881-8578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELDER AND ADULT DAY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-27",
"last_updated": "2014-02-28",
"status": "A",
"authorized_official_last_name": "BRADT",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "425-250-7038",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EADS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.