ROGER B. TRASK ADULT DAY HEALTH
NPI 1861531725
Clinic/Center - Adult Day Care in Peabody, MA

Active since February 06, 2007CLIA 22D2110105 · Waiver
79 CENTRAL ST, PEABODY, MA 01960(978) 531-2254(978) 531-7176 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roger B. Trask Adult Day Health NPPES

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

ROGER B. TRASK ADULT DAY HEALTH (NPI 1861531725) is a healthcare organization registered as an adult day care in Peabody, Massachusetts and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 7, 2028 and lists Kristin Crockett, Program Coordinator, as its authorized official.

NPPES Registry Identity

NPI1861531725
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameCITY OF PEABODY
Location Address79 CENTRAL STPeabody, MA 01960-4353
Mailing Address79 Central StPeabody, MA 01960-4353 · (978) 531-2254 · Fax (978) 531-7176
Fax(978) 531-7176
Organization SubpartNo
Authorized OfficialKristin CrockettProgram Coordinator · (978) 531-2254
Enumeration DateFebruary 6, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1861531725 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
79 CENTRAL ST, Peabody, MA 01960

Other Names 1

Doing Business AsRoger B. Trask Adult Day Health

Other Identifiers 1

Medicaid1902121MA

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 22D2110105

Roger B Trask Adult Day Health · Peabody, MA
Active · expires Mar 7, 2028
CLIA Number22D2110105
Laboratory TypeAdult Day Health
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorJudith Sena
Laboratory Phone(978) 531-2254
Laboratory LocationRoger B Trask Adult Day Health75 R Central St, Peabody, MA 01960
CLIA data matches this NPI record on: 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 City Of Peabody's NPI number?

The NPI number for City Of Peabody is 1861531725. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is doing business as Roger B. Trask Adult Day Health.

Where is City Of Peabody located?

City Of Peabody is located at 79 Central St, Peabody, MA 01960. The listed phone number is (978) 531-2254.

What is City Of Peabody's specialty?

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

Does City Of Peabody hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2110105) is associated with this NPI, valid through March 7, 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 City Of Peabody was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.