=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497881437
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GREATER NEW BEDFORD ADULT DAY HEALTH CARE CTR., INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2007
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 250 ELM ST
-----------------------------------------------------
City | NEW BEDFORD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02740-5120
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-997-1441
-----------------------------------------------------
Fax | 508-997-5595
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 250 ELM ST
-----------------------------------------------------
City | NEW BEDFORD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02740-5120
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-997-1441
-----------------------------------------------------
Fax | 508-997-5595
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | MS. KAREN A MACIULEWICZ
-----------------------------------------------------
Credential | MSRNC.LSW
-----------------------------------------------------
Telephone | 508-997-1441
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA0600X
-----------------------------------------------------
Taxonomy Name | Adult Day Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------