Healthcare Provider Details

I. General information

NPI: 1851827091
Provider Name (Legal Business Name): ADULT DAY HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2017
Last Update Date: 03/08/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 E 23RD ST
PATERSON NJ
07513-1500
US

IV. Provider business mailing address

225 FOXBOROUGH BLVD STE 103
FOXBOROUGH MA
02035-3062
US

V. Phone/Fax

Practice location:
  • Phone: 973-346-4300
  • Fax:
Mailing address:
  • Phone: 508-733-2552
  • 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: SUSAN R REDD-GARCELON
Title or Position: VP QUALITY IMPROVEMENT
Credential: RN
Phone: 508-733-2552