Mi Casa Adhc

LBN: Mi Casa Adhc, Llc
Mi Casa Adhc is an health care organization with primary practice located at 333 Broadway , Lawrence MA 01841-3527. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Mi Casa Adhc, Llc can be contacted via phone (978) 975-2696, or through Itskin, Gennadiy via phone (617) 839-8399.

Contact Information

Primary practice address
333 Broadway Lawrence MA 01841-3527
Phone: (978) 975-2696
Fax: (800) 604-6349
Website:
Map and Directions
Authorized official contact:
Name: Itskin, Gennadiy
Phone: (617) 839-8399

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1912415787
LBN Legal business name Mi Casa Adhc, Llc
DBA Doing business as Mi Casa Adhc
Authorized official Itskin, Gennadiy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2018
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912415787 NPPES
Massachusetts Other EIN

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