FUENTE DE VIDA ADULT DAY CARE SERVICES, LLC (NPI# 1265672265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265672265 |
| Entity Type | Organization |
| Organization Name | FUENTE DE VIDA ADULT DAY CARE SERVICES, LLC |
| Practice Address |
130 Bradlee St Hyde Park MA 02136-2226 |
| Practice Telephone | 6179211041 |
| Practice Fax Number | 6173238886 |
| Mailing Telephone | 6179211041 |
| Mailing Fax Number | 6173238886 |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |
| Authorized Official Name | MR. VADIM DANIEL BINDER (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 6179211041 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
130 BRADLEE ST |
| City | HYDE PARK |
| State | MA |
| Zip Code | 02136-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952892564 | Dionne Latrice | Counselor | 695 Truman Pwky, Boston, MA 02136 | 2018-05-21 |
| 1134622426 | Light House Behavioral Health and Wellness Center Inc. | Community/Behavioral Health | 1 Westinghouse Plaza, A-216, Boston, MA 02136 | 2018-03-13 |
| 1396168795 | Living Well | Home Health | 53 Oak St, Hyde Park, MA 02136 | 2014-01-22 |
| 1891051074 | Marie Ronique Yilain | Licensed Practical Nurse | 59 Cromwell Rd, Hyde Park, MA 02136 | 2012-04-02 |
| 1033410543 | Stephanie Sabrina Seigle | Counselor | 5 Linden Ave, Hyde Park, MA 02136 | 2010-11-15 |
| 1699075747 | Jeffrey Meisner | Physical Therapist | 188 Providence Street, Boston Pain Clinic, Hyde Park, MA 02136 | 2010-10-22 |
| 1356593743 | Supplemantal Health Care Services | Residential Treatment Facility, Physical Disabilities | 731 Truman Hwy, Hyde Park, MA 02136 | 2008-10-16 |
| 1407023047 | Amy Elizabeth Delaney | Nurse Practitioner | 695 Truman Parkway, Suite 203, Hyde Park Pediatrics, Hyde Park, MA 02136 | 2008-05-13 |
| 1629254263 | Alla Urman | Nurse Practitioner | 1274 Hyde Park Ave, Hyde Park, MA 02136 | 2008-01-14 |
| 1912106980 | Marina Williams | Counselor | 1158 Hyde Park Ave, Hyde Park, MA 02136 | 2007-07-11 |
| Find all providers in zip 02136 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818283 | Active Ma, Inc. | Clinic/Center | 595 Pleasant St, Norwood, MA 02062-4603 | 2020-07-13 |
| 1154949592 | Active Ma, Inc. | Clinic/Center | 725a Myles Standish Blvd, Taunton, MA 02780-7332 | 2020-07-13 |
| 1154954311 | Zdorovie Community Center, Inc | Clinic/Center | 143 California St, Newton, MA 02458-1023 | 2020-02-17 |
| 1639718596 | Vitra Adult Day Health I, LLC | Clinic/Center | 10 N Pearl St, Brockton, MA 02301-1708 | 2019-12-24 |
| 1518504505 | Adult Day Health, Inc. | Clinic/Center | 41 Capital Dr, West Springfield, MA 01089-1344 | 2019-12-09 |
| 1154968451 | Adult Day Health, Inc. | Clinic/Center | 52 Wayside Ave Ste B, West Springfield, MA 01089-1361 | 2019-12-05 |
| 1245889351 | American Adult Daycare of Middlesex Inc | Clinic/Center | 84 Brick Kiln Rd, Chelmsford, MA 01824-3218 | 2019-09-11 |
| 1326690074 | Millennium Home Adult Day Healthcare | Clinic/Center | 5 Lyberty Way, Westford, MA 01886-3617 | 2019-07-12 |
| 1295395077 | Adult Day Health, Inc. | Clinic/Center | 1820 Turnpike St Ste 106, North Andover, MA 01845-6399 | 2019-06-14 |
| 1114587995 | Adult Day Health, Inc. | Clinic/Center | 600 Cummings Ctr Ste 176x, Beverly, MA 01915-6108 | 2019-06-14 |
| Find all providers with the same taxonomy | ||||
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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.