Healthcare Provider Details

I. General information

NPI: 1194844753
Provider Name (Legal Business Name): ADULT DAY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 N MAIN ST
LEOMINSTER MA
01453-5458
US

IV. Provider business mailing address

450 N MAIN ST
LEOMINSTER MA
01453-5458
US

V. Phone/Fax

Practice location:
  • Phone: 978-537-1661
  • Fax: 855-874-7813
Mailing address:
  • Phone: 978-537-1661
  • Fax: 978-840-3341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number261QA0600X
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number343900000X
License Number StateMA

VIII. Authorized Official

Name: BIJAL DOSHI
Title or Position: PRESIDENT
Credential:
Phone: 774-245-0727