MEDICARE: ALL CARE ADULT DAY HEALTH CENTER AT NORTH VILLAGE

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942306881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL CARE ADULT DAY HEALTH CENTER AT NORTH VILLAGE

Provider Business Mailing Address
First Line	:	20 SHEILA AVE
Second Line	:
City	:	NORTH CHELMSFORD
State	:	MA
Zip	:	01863-1448
Country	:	US
Telephone Number	:	978-251-0367
Fax Number	:	978-251-0382

Provider Business Practice Location Address
First Line	:	20 SHEILA AVE
Second Line	:
City	:	NORTH CHELMSFORD
State	:	MA
Zip	:	01863-1448
Country	:	US
Telephone Number	:	978-251-0367
Fax Number	:	978-251-0382

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. SHAWN POTTER
Credential	:
Telephone Number	:	781-598-2454

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	07/21/2022

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