Haitian Adult Daycare, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

1907034 Issued in MA

Legal business name

HAITIAN ADULT DAYCARE, LLC

Practice address

6 Frontenac St
Dorchester Center, MA 02124-3902

Phone

(617) 288-4155

Fax

(617) 288-4177

NPI assigned

Nov 24, 2008

Organization subpart

No

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

Authorized official

Name

Igor Shreyer

Title

Member

Phone

(857) 222-9940

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1992950505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FRONTENAC ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021243902",
            "telephone_number": "617-288-4155",
            "fax_number": "617-288-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FRONTENAC ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021243902",
            "telephone_number": "617-288-4155",
            "fax_number": "617-288-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAITIAN ADULT DAYCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "SHREYER",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "857-222-9940"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MA",
            "license": "1907034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1907034",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Gonzalez I, M.A
• Julieanne P Goodrich, PA
• Tamar Gousse
• Luke M Griffith, MS CCC SLP
• Ricardo Guevara, DDS
• Vivian P Halfin, M.D.
• Nicolas Hanabergh, M.D.
• Vaishali T Harma, PA-C
• Derya Bora Hazar, M.D.
• Help Services Network, Inc.

• Adult Day Care Clinic/Center in Dorchester Center, MA
• Providers in Dorchester Center, 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 13, 2009; 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.