Healthcare Provider Details

I. General information

NPI: 1922473206
Provider Name (Legal Business Name): ADULT DAY HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2015
Last Update Date: 01/12/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 SOLDIERS FIELD PL
BRIGHTON MA
02135-1103
US

IV. Provider business mailing address

313 CONGRESS ST FL 5
BOSTON MA
02210-1218
US

V. Phone/Fax

Practice location:
  • Phone: 617-787-9999
  • Fax:
Mailing address:
  • Phone: 617-790-4841
  • Fax:

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: GINA L. MARTIN
Title or Position: CHIEF LEGAL OFFICER
Credential:
Phone: 617-790-4800