BROCKTON ADULT DAY CARE, LLC
NPI 1114195757
Clinic/Center - Adult Day Care in Brockton, MA

Active since February 18, 2008CLIA 22D2106776 · Waiver
764 N MAIN ST, BROCKTON, MA 02301(508) 897-0600 Get Directions Write a Review

NPPES record last updated: February 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brockton Adult Day Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROCKTON ADULT DAY CARE, LLC (NPI 1114195757) is a healthcare organization registered as an adult day care in Brockton, Massachusetts and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through December 28, 2027 and lists Chrissie Schettini, Program Director, as its authorized official.

NPPES Registry Identity

NPI1114195757
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameBROCKTON ADULT DAY CARE, LLC
Location Address764 N MAIN STBrockton, MA 02301-2443
Mailing Address764 N Main StBrockton, MA 02301-2443 · (508) 897-0600
Organization SubpartNo
Authorized OfficialChrissie SchettiniProgram Director · (508) 294-8756
Enumeration DateFebruary 18, 2008
NPI 1114195757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
764 N MAIN ST, Brockton, MA 02301

Other Identifiers 1

Medicaid1906739MA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2106776

Brockton Adult Day Health · Brockton, MA
Active · expires Dec 28, 2027
CLIA Number22D2106776
Laboratory TypeAdult Day Health
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorKerrie Hamblett
Laboratory Phone(508) 618-7961
Laboratory LocationBrockton Adult Day Health764 North Main Street, Brockton, MA 02301
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Day Care)
764 N MAIN ST
BROCKTON, MA 02301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brockton Adult Day Care, LLC's NPI number?

The NPI number for Brockton Adult Day Care, LLC is 1114195757. It was assigned to this organization in the NPPES registry on February 18, 2008.

Where is Brockton Adult Day Care, LLC located?

Brockton Adult Day Care, LLC is located at 764 N Main St, Brockton, MA 02301. The listed phone number is (508) 897-0600.

What is Brockton Adult Day Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Brockton Adult Day Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2106776) is associated with this NPI, valid through December 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brockton Adult Day Care, LLC was last updated on February 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.