Healthcare Provider Details

I. General information

NPI: 1588193734
Provider Name (Legal Business Name): ADULT DAY HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2017
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

966 PARK ST STE B1
STOUGHTON MA
02072-3650
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 781-344-9900
  • Fax:
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 StateMA

VIII. Authorized Official

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