Healthcare Provider Details

I. General information

NPI: 1629479654
Provider Name (Legal Business Name): ADULT DAY HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2014
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 CAMBRIDGE ST
CHARLESTOWN MA
02129-1231
US

IV. Provider business mailing address

6600 FRANCE AVE S STE 350
EDINA MN
55435-1810
US

V. Phone/Fax

Practice location:
  • Phone: 508-618-7952
  • Fax: 774-215-5708
Mailing address:
  • Phone: 508-618-7952
  • Fax: 774-215-5708

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: SUSAN R REDD-GARCELON
Title or Position: VPQI
Credential: RN
Phone: 508-618-7952