NORTH SHORE HAITIAN ADULT DAY HEALTH
NPI 1235586587
Clinic/Center - Adult Day Care in Malden, MA

NPI Status: Active since May 17, 2016

Contact Information

263 COMMERCIAL ST
MALDEN, MA
ZIP 02148
Phone: (617) 680-9703

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  • Organization
  • Clinic/Center
  • Adult Day Care
  • CLIA Number: 22D2115914
  • CLIA Cert. Type: Other - ADULT DAY HEALTH
  • CLIA Exp. Date: 07-14-2026

About NORTH SHORE HAITIAN ADULT DAY HEALTH

This page provides the complete NPI Profile along with additional information for North Shore Haitian Adult Day Health, a provider established in Malden, Massachusetts operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1235586587 assigned on May 2016. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as North Shore Haitian Adult Day Health. The authorized official of this NPI record is Susan R Redd-garcelon Rn (Vp Quality Improvement)

NPI
1235586587
Provider Legal Name
ADULT DAY HEALTH, INC.
Other Organization Name
NORTH SHORE HAITIAN ADULT DAY HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
263 COMMERCIAL ST MALDEN, MA 02148
Location Phone
(617) 680-9703
Mailing Address
225 FOXBOROUGH BLVD STE 103 FOXBOROUGH, MA 02035
Mailing Phone
(508) 618-7952
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-17-2016
Last Update Date
08-15-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Day Care

Taxonomy Code
261QA0600X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSAN R REDD-GARCELON RN

Authorized Official Title
VP QUALITY IMPROVEMENT
Authorized Official Phone
(508) 618-7952

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D2115914
Facility Type
Other - ADULT DAY HEALTH
Certificate Effective Date
July 15, 2024
Certificate Expiration Date
July 14, 2026
Laboratory Director
KERRIE R. HAMBLETT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to North Shore Haitian Adult Day Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235586587
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226510812516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 0 + 8 + 1 + 2 + 5 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1235586587 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235586587, enumerated in the NPI registry as an "organization" on May 17, 2016

The provider is located at 263 Commercial St Malden, Ma 02148 and the phone number is (617) 680-9703

This medical organization specializes in Clinic/Center with taxonomy code 261QA0600X with a focus in Adult Day Care

The provider's CLIA number is 22D2115914 for a "other - adult day health" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 17, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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