Provider Demographics
NPI:1194844753
Name:ADULT DAY HEALTH CENTER
Entity Type:Organization
Organization Name:ADULT DAY HEALTH CENTER
Other - Org Name:ADULT DAY HEALTH CENTER AT MANOR ON THE HILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BIJAL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-245-0727
Mailing Address - Street 1:450 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-5458
Mailing Address - Country:US
Mailing Address - Phone:978-537-1661
Mailing Address - Fax:978-840-3341
Practice Address - Street 1:450 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-5458
Practice Address - Country:US
Practice Address - Phone:978-537-1661
Practice Address - Fax:855-874-7813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261QA0600X261QA0600X
MA343900000X343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAH1904574Medicaid