Healthcare Provider Details

I. General information

NPI: 1780221085
Provider Name (Legal Business Name): ADULT DAY HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2019
Last Update Date: 12/17/2021
Certification Date: 12/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 SOUTH ST
HOLYOKE MA
01040-3611
US

IV. Provider business mailing address

225 FOXBOROUGH BLVD STE 103
FOXBOROUGH MA
02035-3062
US

V. Phone/Fax

Practice location:
  • Phone: 413-206-5880
  • Fax:
Mailing address:
  • Phone: 508-618-7961
  • 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: GENERAL COUNSEL
Credential:
Phone: 617-790-4800