MEDICARE: ADULT DAY HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center		MA

General Provider Information

NPI Number	:	1447770524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADULT DAY HEALTH, INC.

Provider Business Mailing Address
First Line	:	6600 FRANCE AVE S STE 350
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-1810
Country	:	US
Telephone Number	:	508-618-7952
Fax Number	:	774-215-5708

Provider Business Practice Location Address
First Line	:	25 CHRISTY DR
Second Line	:
City	:	BROCKTON
State	:	MA
Zip	:	02301-1813
Country	:	US
Telephone Number	:	508-586-2222
Fax Number	:

Authorized Official
Title or Position	:	VPQI
Name	:	SUSAN R REDD-GARCELON
Credential	:	RN
Telephone Number	:	508-618-7952

Provider Enumeration Date	:	06/21/2017
Last Update Date	:	04/14/2026

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