Active NPIOrganization

411 Waverly Oaks RD, Suite#214, Waltham, Ma 02452

Clinic/Center, Adult Day Care in Waltham, Massachusetts

NPI Number1902169105
Practice location
411 Waverly Oaks RD, Waltham, MA 02452-8448
Fax
617-206-3195
Last updated
June 21, 2012

411 Waverly Oaks RD, Suite#214, Waltham, Ma 02452 is a healthcare organization based in Waltham, MA. 411 Waverly Oaks RD, Suite#214, Waltham, Ma 02452 practices in Waltham, MA. The NPI Number for 411 Waverly Oaks RD, Suite#214, Waltham, Ma 02452 is 1902169105. The current practice location address for 411 Waverly Oaks RD, Suite#214, Waltham, Ma 02452 is 411 Waverly Oaks RD, Waltham, MA 02452-8448 and can be reached out via phone at 617-513-2158 and via fax at 617-206-3195.

Provider Profile Details

NPI Number
1902169105
Provider Name
411 Waverly Oaks RD, Suite#214, Waltham, Ma 02452
Provider Entity Type
Organization
Address
411 Waverly Oaks RD, Waltham, MA 02452-8448
Phone Number
617-513-2158
Fax Number
617-206-3195
Primary Taxonomy
Clinic/Center, Adult Day Care · 261QA0600X
Organization Subpart
No
Authorized Official
Mr. Wolf Gafanovich, RN · Clinical Director · 617-513-2158
Provider Enumeration Date
June 21, 2012
Last Update Date
June 21, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
411 Waverly Oaks RD
Waltham, MA 02452-8448
Zip
02452-8448
Phone Number
617-513-2158
Fax Number
617-206-3195
Waltham, MA 02452Get directions →

Provider Business Mailing Address Details

Address
411 Waverly Oaks RD Ste 214
Waltham, MA 02452-8437
City
Waltham
State
MA
Zip
02452-8437
Phone Number
617-513-2158
Fax Number
617-206-3195

License Information

License State
MA
Taxonomy
Clinic/Center, Adult Day Care · 261QA0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of 411 Waverly Oaks RD, Suite#214, Waltham, Ma 02452?

The NPI number of 411 Waverly Oaks RD, Suite#214, Waltham, Ma 02452 is 1902169105. It was assigned on June 21, 2012 and is currently active in the NPPES registry.

What is the specialty of 411 Waverly Oaks RD, Suite#214, Waltham, Ma 02452?

411 Waverly Oaks RD, Suite#214, Waltham, Ma 02452 is registered under the primary taxonomy Clinic/Center, Adult Day Care (code 261QA0600X).

Where does 411 Waverly Oaks RD, Suite#214, Waltham, Ma 02452 practice?

The practice location is 411 Waverly Oaks RD, Waltham, MA 02452-8448. The office can be reached at 617-513-2158 (phone) or 617-206-3195 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902169105 directly on the NPPES registry website.

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