Provider Demographics
NPI:1407143860
Name:CARING ANGELS ADULT DAY HEALTH AND EDUCATIONAL CENTER LLC.
Entity Type:Organization
Organization Name:CARING ANGELS ADULT DAY HEALTH AND EDUCATIONAL CENTER LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IDELIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEANBAPTISTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-733-5159
Mailing Address - Street 1:189 BELMONT ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-5159
Mailing Address - Country:US
Mailing Address - Phone:617-733-5159
Mailing Address - Fax:508-588-9023
Practice Address - Street 1:1 CENTER ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-4095
Practice Address - Country:US
Practice Address - Phone:617-733-5159
Practice Address - Fax:508-588-9023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care