BROCKTON ADULT MEDICAL DAY CARE CENTER, INC (NPI# 1639294010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639294010 |
| Entity Type | Organization |
| Organization Name | BROCKTON ADULT MEDICAL DAY CARE CENTER, INC |
| Practice Address |
25 Christy Dr Brockton MA 02301-1813 |
| Practice Telephone | 5085862222 |
| Practice Fax Number | 5085862212 |
| Mailing Telephone | 5085862222 |
| Mailing Fax Number | 5085862212 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MICHELLE A CASTRONOVO (ADMINISTRATOR) |
| Authorized Official Telephone | 5085862222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
1949667 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1949667 | 05 |
| Street Address |
25 CHRISTY DR |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447770524 | Adult Day Health, Inc. | Clinic/Center | 25 Christy Dr, Brockton, MA 02301-1813 | 2017-06-21 |
| 1457739047 | Community Coach, Inc. | Non-emergency Medical Transport (VAN) | 25 Christy Dr, Brockton, MA 02301-1813 | 2015-05-14 |
| 1780837427 | Community Coach, Inc | Non-emergency Medical Transport (VAN) | 25 Christy Dr, Brockton, MA 02301-1813 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718596 | Vitra Adult Day Health I, LLC | Clinic/Center | 10 N Pearl St, Brockton, MA 02301-1708 | 2019-12-24 |
| 1518487693 | Adult Day Health, Inc. | Clinic/Center | 55 City Hall Plz Ste 2, Brockton, MA 02301-4341 | 2017-06-21 |
| 1588011837 | Adult Day Health, Inc. | Clinic/Center | 583 Centre St, Brockton, MA 02302-3326 | 2016-05-17 |
| 1326429820 | Brockton Adult Medical Day Care Center II, Inc | Clinic/Center | 55 City Hall Plz, Brockton, MA 02301-4341 | 2015-06-11 |
| 1114195757 | Brockton Adult Day Care, LLC | Clinic/Center | 764 N Main St, Brockton, MA 02301-2443 | 2008-02-18 |
| 1447770524 | Adult Day Health, Inc. | Clinic/Center | 25 Christy Dr, Brockton, MA 02301-1813 | 2017-06-21 |
| 1750821864 | Harbor Health Services, Inc | Clinic/Center | 479 Torrey St, Brockton, MA 02301-4617 | 2017-03-08 |
| 1205237237 | Adult Day Health, Inc. | Clinic/Center | 764 N Main St, Brockton, MA 02301-2443 | 2014-09-09 |
| 1649612003 | South Shore Adult Day Health Center LLC | Clinic/Center | 189 Belmont St, Brockton, MA 02301-5159 | 2013-07-25 |
| 1407143860 | Caring Angels Adult Day Health and Educational Center LLC. | Clinic/Center | 1 Center St, First Floor, Brockton, MA 02301-4095 | 2011-07-06 |
| Find all providers in BROCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.