Active NPI
Park City Adult Day Care Inc.
- Adult Day Care Clinic/Center
- Bridgeport, CT
National Provider Identifier
1891813507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- PARK CITY ADULT DAY CARE INC.
- Practice address
- 55 Chapel St
Bridgeport, CT 06614 - Phone
- (203) 335-1001
- Fax
- (203) 331-9935
- NPI assigned
- Mar 27, 2007
- Last updated
- Aug 22, 2020
- 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
- Ms. Rita E. Carlson, LPN
- Title
- Administrator
- Phone
- (203) 335-1001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
55 Chapel St
Bridgeport, CT 06614
Mailing address
55 Chapel St
Bridgeport, CT 06614
Phone (203) 335-1001
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891813507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CHAPEL ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "06614",
"telephone_number": "203-335-1001",
"fax_number": "203-331-9935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CHAPEL ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "06614",
"telephone_number": "203-335-1001",
"fax_number": "203-331-9935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK CITY ADULT DAY CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARLSON",
"authorized_official_first_name": "RITA",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "203-335-1001",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
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.