Healthcare Provider Details

I. General information

NPI: 1992824882
Provider Name (Legal Business Name): GREENWICH ADULT DAY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 PARSONAGE RD
GREENWICH CT
06830-3941
US

IV. Provider business mailing address

70 PARSONAGE RD
GREENWICH CT
06830-3941
US

V. Phone/Fax

Practice location:
  • Phone: 203-622-0079
  • Fax: 203-622-4344
Mailing address:
  • Phone: 203-622-0079
  • Fax: 203-622-4344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CAROL A. BURNS
Title or Position: EXECUTIVE DIRECTOR
Credential: RN
Phone: 203-622-0079