Provider Demographics
NPI:1083106983
Name:ADULT DAY HEALTH, INC.
Entity Type:Organization
Organization Name:ADULT DAY HEALTH, INC.
Other - Org Name:MAINTAINING INDEPENDENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP QUALITY IMPROVEMENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:REDD-GARCELON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:508-618-7952
Mailing Address - Street 1:225 FOXBOROUGH BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:FOXBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:02035-3062
Mailing Address - Country:US
Mailing Address - Phone:508-618-7952
Mailing Address - Fax:774-215-5708
Practice Address - Street 1:11 KIMBALL DR UNIT 110
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-2604
Practice Address - Country:US
Practice Address - Phone:603-232-7431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADULT DAY HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-06
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04057261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care