Healthcare Provider Details

I. General information

NPI: 1083106983
Provider Name (Legal Business Name): ADULT DAY HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2018
Last Update Date: 04/14/2023
Certification Date: 04/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 KIMBALL DR UNIT 110
HOOKSETT NH
03106-2604
US

IV. Provider business mailing address

225 FOXBOROUGH BLVD STE 103
FOXBOROUGH MA
02035-3062
US

V. Phone/Fax

Practice location:
  • Phone: 603-232-7431
  • 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 Number04057
License Number StateNH

VIII. Authorized Official

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