ADULT DAY HEALTH INC. NPI 1235586587

NPI Information

NPI: 1235586587
Provider Name: ADULT DAY HEALTH, INC.

Doing Business As: NORTH SHORE ADULT DAY HEALTH / LA SOURCE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
263 COMMERCIAL ST
MALDEN, MA
ZIP 02148
Phone: (617) 680-9703
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ADULT DAY HEALTH, INC. is an adult day care clinic center in Malden, MA. ADULT DAY HEALTH, INC. NPI is 1235586587. The provider is registered as an organization entity type.
The provider Is Doing Business As North Shore Adult Day Health / La Source.

The provider's business location address is:

263 COMMERCIAL ST
MALDEN, MA
ZIP 02148-708
Phone: (617) 680-9703

The provider's authorized official is William F. Duffy .
The authorized official title is President and has the following contact phone number (617) 790-4841.

The CLIA number assigned to this NPI record is 22D2115914 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2016 and was last updated on 5/17/2016.

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
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

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: 11/14/2023

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