Organization Active NPI

Elder and Adult Day Services

  • Developmentally Disabled Services Day Training Agency
  • Bellevue, WA
National Provider Identifier
1881019834
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory
Tax ID family
Eads2 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.

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.

Verify at the official NPI Registry.