Active NPIOrganization

Medford Adhc

Clinic/Center, Adult Day Care in Medford, Massachusetts

NPI Number1932566056
Practice location
101 Mystic Ave, Medford, MA 02155-4628
Fax
—
Last updated
June 10, 2026

Medford Adhc is a healthcare organization based in Medford, MA. Medford Adhc practices in Medford, MA. The NPI Number for Medford Adhc is 1932566056. The current practice location address for Medford Adhc is 101 Mystic Ave, Medford, MA 02155-4628 and can be reached out via phone at 617-839-8299.

Provider Profile Details

NPI Number
1932566056
Provider Name
Medford Adhc
Provider Entity Type
Organization
Address
101 Mystic Ave, Medford, MA 02155-4628
Phone Number
617-839-8299
Primary Taxonomy
Clinic/Center, Adult Day Care · 261QA0600X
Organization Subpart
No
Authorized Official
Mr. Gennadiy Itskin · Owner · 617-839-8299
Provider Enumeration Date
January 20, 2016
Last Update Date
June 10, 2026
Certification Date
June 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Mystic Ave
Medford, MA 02155-4628
Zip
02155-4628
Phone Number
617-839-8299
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
101 Mystic Ave
Medford, MA 02155-4628
City
Medford
State
MA
Zip
02155-4628
Phone Number
617-839-8299

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 Medford Adhc?

The NPI number of Medford Adhc is 1932566056. It was assigned on January 20, 2016 and is currently active in the NPPES registry.

What is the specialty of Medford Adhc?

Medford Adhc is registered under the primary taxonomy Clinic/Center, Adult Day Care (code 261QA0600X).

Where does Medford Adhc practice?

The practice location is 101 Mystic Ave, Medford, MA 02155-4628. The office can be reached at 617-839-8299 (phone).

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 1932566056 directly on the NPPES registry website.

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