LYNN COMMUNITY ELDER SERVICES NPI 1215247861

NPI Information

  • NPI: 1215247861
  • Provider Name: LYNN COMMUNITY ELDER SERVICES
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • Address: 112 KERNWOOD DR
    LYNN, MA
    ZIP 01904
  • Phone: (781) 598-4570

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NPI Details

LYNN COMMUNITY ELDER SERVICES is an adult day care clinic center in Lynn, MA. LYNN COMMUNITY ELDER SERVICES NPI is 1215247861. The provider is registered as an organization entity type.

The provider's business location address is:

112 KERNWOOD DR
LYNN, MA
ZIP 01904-711
Phone: (781) 598-4570
Fax: (781) 598-5421

The provider's authorized official is David Libby .
The authorized official title is Cfo and has the following contact phone number (781) 586-8571.

The enumeration date for this NPI number is 10/18/2010 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA0600XClinic/CenterAdult Day CareMASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110032749BMEDICAIDMASSACHUSETTS
2110032749AMEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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