VITRA ADULT DAY HEALTH I, LLC


Address: 10 N Pearl St, Brockton, MA 02301-1708
Phone: 5085948708

VITRA ADULT DAY HEALTH I, LLC (NPI# 1639718596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639718596
Entity Type Organization
Organization Name VITRA ADULT DAY HEALTH I, LLC
Practice Address 10 N Pearl St
Brockton
MA 02301-1708
Practice Telephone 5085948708
Mailing Telephone 5085948708
Enumeration Date 2019-12-24
Last Update Date 2019-12-24
Authorized Official Name EDWARD SPIVAK (MANAGER)
Authorized Official Telephone 5085948288
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Vitra Adult Day Health Doing Business As Name - Organization

Office Location

Street Address 10 N PEARL ST
City BROCKTON
State MA
Zip Code 02301-1708

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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
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1639294010 Brockton Adult Medical Day Care Center, Inc Clinic/Center 25 Christy Dr, Brockton, MA 02301-1813 2007-03-21
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
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Competitor

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City BROCKTON
Zip Code 02301

Improve Information

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Dataset Information

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.

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