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RENAISSANCE ADULT DAY HEALTH CENTER
NPI 1639544919
Clinic/Center - Adult Day Care in Worcester, MA

Active since December 11, 2015CLIA 22D2109745 · Waiver
1040 SOUTHBRIDGE ST, WORCESTER, MA 01610(508) 925-0389 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2023, Dec 11, 2015 (2 updates tracked since 2015).

About Renaissance Adult Day Health Center NPPES

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

RENAISSANCE ADULT DAY HEALTH CENTER (NPI 1639544919) is a healthcare organization registered as an adult day care in Worcester, Massachusetts and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Susan R Redd-garcelon, Vp Qi, as its authorized official.

NPPES Registry Identity

NPI1639544919
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameADULT DAY HEALTH, INC.
Location Address1040 SOUTHBRIDGE STWorcester, MA 01610-2235
Mailing Address225 Foxborough Blvd Ste 103Foxborough, MA 02035-3062 · (508) 733-2552 · Fax (774) 215-5708
Phone(508) 925-0389
Organization SubpartNo
Authorized OfficialSusan R Redd-garcelonVp Qi · (508) 733-2552
Enumeration DateDecember 11, 2015
Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1639544919 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
1040 SOUTHBRIDGE ST, Worcester, MA 01610
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Other Names 1

Doing Business AsRenaissance Adult Day Health Center

Other Identifiers 1

Medicaid110100665JMA

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 22D2109745

Renaissance Adult Day Health Center · Worcester, MA
Active · expires Feb 29, 2028
CLIA Number22D2109745
Laboratory TypeAdult Day Health Program
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorKerrie R. Hamblett
Laboratory Phone(774) 823-3439
Laboratory LocationRenaissance Adult Day Health Center1040 Southbridge St, Worcester, MA 01610
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ABLE HANDS HOMECARE LLC
Home Health
1040 SOUTHBRIDGE ST
WORCESTER, MA 01610
Worcester County (774) 230-1377
NAZIALY RODRIGUEZ
Behavior Analyst
1040 SOUTHBRIDGE ST
WORCESTER, MA 01610
Worcester County (508) 618-7988
ELLA GIL
Social Worker
1040 SOUTHBRIDGE ST
WORCESTER, MA 01610
Worcester County (774) 823-3438

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 Adult Day Health, Inc.'s NPI number?

The NPI number for Adult Day Health, Inc. is 1639544919. It was assigned to this organization in the NPPES registry on December 11, 2015. The provider is doing business as Renaissance Adult Day Health Center.

Where is Adult Day Health, Inc. located?

Adult Day Health, Inc. is located at 1040 Southbridge St, Worcester, MA 01610. The listed phone number is (508) 925-0389.

What is Adult Day Health, Inc.'s specialty?

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

Does Adult Day Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2109745) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Adult Day Health, Inc. was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.