FUENTE DE VIDA ADULT DAY CARE SERVICES, LLC
NPI 1265672265
Clinic/Center - Adult Day Care in Hyde Park, MA

Q: What is Fuente De Vida Adult Day Care Services, LLC's specialty?

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

Active since March 03, 2009CLIA 22D2096247 · Waiver

130 BRADLEE ST, HYDE PARK, MA 02136(617) 921-1041(617) 323-8886 Get Directions Write a Review

NPPES record last updated: March 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fuente De Vida Adult Day Care Services, Llc NPPES

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

FUENTE DE VIDA ADULT DAY CARE SERVICES, LLC (NPI 1265672265) is a healthcare organization registered as an adult day care in Hyde Park, Massachusetts and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Vadim Daniel Binder, Program Director, as its authorized official.

NPPES Registry Identity

NPI1265672265

Entity TypeOrganization

Primary Taxonomy261QA0600X

Legal Business NameFUENTE DE VIDA ADULT DAY CARE SERVICES, LLC

Location Address130 BRADLEE STHyde Park, MA 02136-2226

Mailing Address130 Bradlee StHyde Park, MA 02136-2226 · (617) 921-1041 · Fax (617) 323-8886

Phone(617) 921-1041

Fax(617) 323-8886

Organization SubpartNo

Authorized OfficialVadim Daniel BinderProgram Director · (617) 921-1041

Enumeration DateMarch 3, 2009

✔ NPI 1265672265 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

130 BRADLEE ST, Hyde Park, MA 02136

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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 22D2096247

Fuente De Vida Adult Day Care Services LLC · Hyde Park, MA

Active · expires May 18, 2027

CLIA Number22D2096247

Laboratory TypeAdult Day Health

Certificate Effective DateMay 19, 2025

Certificate Expiration DateMay 18, 2027

Laboratory DirectorArielys Jimenez

Laboratory Phone(617) 333-0050

Laboratory LocationFuente De Vida Adult Day Care Services LLC130 Bradlee St, Hyde Park, MA 02136

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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 Fuente De Vida Adult Day Care Services, LLC's NPI number?

The NPI number for Fuente De Vida Adult Day Care Services, LLC is 1265672265. It was assigned to this organization in the NPPES registry on March 3, 2009.

Where is Fuente De Vida Adult Day Care Services, LLC located?

Fuente De Vida Adult Day Care Services, LLC is located at 130 Bradlee St, Hyde Park, MA 02136. The listed phone number is (617) 921-1041.

What is Fuente De Vida Adult Day Care Services, LLC's specialty?

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

Does Fuente De Vida Adult Day Care Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2096247) is associated with this NPI, valid through May 18, 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 Fuente De Vida Adult Day Care Services, LLC was last updated on March 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.