Provider Demographics
NPI:1851827091
Name:ADULT DAY HEALTH, INC.
Entity Type:Organization
Organization Name:ADULT DAY HEALTH, INC.
Other - Org Name:MI CASA ES SU CASA
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:508-733-2552
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:508-733-2552
Mailing Address - Fax:
Practice Address - Street 1:911 E 23RD ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07513-1500
Practice Address - Country:US
Practice Address - Phone:973-346-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADULT DAY HEALTH INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-09
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ708110OtherSTATE OPERATING LICENSE