Healthcare Provider Details
I. General information
NPI: 1104787993
Provider Name (Legal Business Name): ADULT DAY HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/20/2025
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
102 HIPPOCRATES WAY
GLASGOW KY
42141-3484
US
IV. Provider business mailing address
225 FOXBOROUGH BLVD STE 103
FOXBOROUGH MA
02035-3062
US
V. Phone/Fax
- Phone: 270-651-1244
- Fax:
- Phone: 508-618-7952
- Fax: 774-215-5708
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUSAN
R
REDD-GARCELON
Title or Position: VP QUALITY IMPROVEMENT
Credential: RN
Phone: 508-618-7952