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VITRA ADULT DAY HEALTH I, LLC
NPI 1639718596
Clinic/Center - Adult Day Care in Brockton, MA

Active since December 24, 2019CLIA 22D2176215 · Waiver
10 N PEARL ST, BROCKTON, MA 02301(508) 594-8708 Get Directions Write a Review

NPPES record last updated: December 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vitra Adult Day Health I, Llc NPPES

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

VITRA ADULT DAY HEALTH I, LLC (NPI 1639718596), doing business as Vitra Adult Day Health, is a healthcare organization registered as an adult day care in Brockton, Massachusetts and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through October 21, 2026 and lists Edward Spivak, Manager, as its authorized official.

NPPES Registry Identity

NPI1639718596
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameVITRA ADULT DAY HEALTH I, LLC
Location Address10 N PEARL STBrockton, MA 02301-1708
Mailing Address10 N Pearl StBrockton, MA 02301-1708 · (508) 594-8708
Phone(508) 594-8708
Organization SubpartNo
Authorized OfficialEdward SpivakManager · (508) 594-8288
Enumeration DateDecember 24, 2019
✔ NPI 1639718596 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
10 N PEARL ST, Brockton, MA 02301
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Other Names 1

Doing Business AsVitra Adult Day Health

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 22D2176215

Vitra Adult Day Health · Brockton, MA
Active · expires Oct 21, 2026
CLIA Number22D2176215
Laboratory TypeAdh
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorMichelle Tavares
Laboratory Phone(508) 594-8708
Laboratory LocationVitra Adult Day Health10 N Pearl Street, Brockton, MA 02301
CLIA data matches this NPI record on: Address Name Phone
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 Vitra Adult Day Health I, LLC's NPI number?

The NPI number for Vitra Adult Day Health I, LLC is 1639718596. It was assigned to this organization in the NPPES registry on December 24, 2019. The provider is doing business as Vitra Adult Day Health.

Where is Vitra Adult Day Health I, LLC located?

Vitra Adult Day Health I, LLC is located at 10 N Pearl St, Brockton, MA 02301. The listed phone number is (508) 594-8708.

What is Vitra Adult Day Health I, LLC's specialty?

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

Does Vitra Adult Day Health I, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2176215) is associated with this NPI, valid through October 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vitra Adult Day Health I, LLC was last updated on December 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.