Mi Casa Adhc, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MI CASA ADHC, LLC

Practice address

333 Broadway
Lawrence, MA 01841-3527

Phone

(978) 975-2696

Fax

(800) 604-6349

NPI assigned

Jan 16, 2018

Organization subpart

No

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

Authorized official

Name

Gennadiy Itskin

Title

Owner

Phone

(617) 839-8399

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mi Casa ADHC Doing business as

Locations

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912415787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BROADWAY",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018413527",
            "telephone_number": "978-975-2696",
            "fax_number": "800-604-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BROADWAY",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018413527",
            "telephone_number": "978-975-2696",
            "fax_number": "800-604-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CASA ADHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ITSKIN",
        "authorized_official_first_name": "GENNADIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-839-8399"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": null,
            "identifier": "EIN",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mi Casa ADHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James William Meyer, M.D.
• Mindy J Meyer
• Meyers Chiropractic Inc
• Paul Edward Meyers, D.C.
• Marlene Mezquita
• Mi Management, Inc.
• Mi Nursing-Restorative Center Inc
• Mi Transportation, Inc.
• Michael J Landman MD PC
• Laura Ann Michael, MSW, LCSW

• Adult Day Care Clinic/Center in Lawrence, MA
• Providers in Lawrence, 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 Jul 21, 2022; 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.