Healthcare Provider Details

I. General information

NPI: 1508304460
Provider Name (Legal Business Name): ADULT DAY HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2017
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 HELGERMAN CT
GAITHERSBURG MD
20877-4131
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 301-987-8889
  • Fax: 301-987-0877
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