=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790648152
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADULT DAY HEALTH, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/03/2025
-----------------------------------------------------
Last Update Date | 12/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 INDUSTRIAL PARK RD STE 2
-----------------------------------------------------
City | GREENSBURG
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42743-1383
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-618-7592
-----------------------------------------------------
Fax | 774-215-5708
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 225 FOXBOROUGH BLVD STE 103
-----------------------------------------------------
City | FOXBOROUGH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02035-3062
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-618-7952
-----------------------------------------------------
Fax | 774-215-5708
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP QUALITY IMPROVEMENT
-----------------------------------------------------
Name | SUSAN R REDD-GARCELON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 508-618-7952
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------