Kernwood Adult Day Care, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

KERNWOOD ADULT DAY CARE, INC.

Doing business as

Kernwood Adult Day Health
Pondview Lodge Adult Day Health

Practice address

112 Kernwood Dr
Lynn, MA 01904-1711

Phone

(978) 948-7383

Fax

(978) 948-3421

NPI assigned

Jan 10, 2014

Last updated

Jan 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sherrill Erin O'Gorman

Title

Corp. Director of Administration

Phone

(978) 948-7383

Specialties & licenses 1

Addresses

Other names 2

• Kernwood Adult Day Health Doing business as
• Pondview Lodge Adult Day Health Doing business as

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1992127880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SUMMER ST",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691835",
            "telephone_number": "978-948-7383",
            "fax_number": "978-948-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 KERNWOOD DR",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019041711",
            "telephone_number": "978-948-7383",
            "fax_number": "978-948-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERNWOOD ADULT DAY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "O'GORMAN",
        "authorized_official_first_name": "SHERRILL",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "CORP. DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "978-948-7383"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kernwood Adult Day Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pondview Lodge Adult Day Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Jane Kennedy
• Reeve Susan Kennedy, BA
• Wendy P Kent, MA, LADC1
• Ana Keohane, DMD
• Cameron Kernizan
• Wendy Kessler, M.ED
• Azza Khalid
• Channa Khan, CMA
• Amal Kharbouch, DMD
• Maryam Khodadoust, PSYD

• Adult Day Care Clinic/Center in Lynn, MA
• Providers in Lynn, 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 Jan 19, 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.