Provider Demographics
NPI:1497881437
Name:GREATER NEW BEDFORD ADULT DAY HEALTH CARE CTR., INC.
Entity Type:Organization
Organization Name:GREATER NEW BEDFORD ADULT DAY HEALTH CARE CTR., INC.
Other - Org Name:PROJECT INDEPENDENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MACIULEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSRNCLSW
Authorized Official - Phone:508-997-1441
Mailing Address - Street 1:250 ELM ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-5120
Mailing Address - Country:US
Mailing Address - Phone:508-997-1441
Mailing Address - Fax:508-997-5595
Practice Address - Street 1:250 ELM ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-5120
Practice Address - Country:US
Practice Address - Phone:508-997-1441
Practice Address - Fax:508-997-5595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1900684Medicaid