411 WAVERLY OAKS RD, SUITE#214, WALTHAM, MA 02452 - NPI 1902169105

Q: What is 411 Waverly Oaks Rd, Suite#214, Waltham, Ma 02452's specialty?

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

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About 411 Waverly Oaks Rd, Suite#214, Waltham, Ma 02452 NPPES

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

411 WAVERLY OAKS RD, SUITE#214, WALTHAM, MA 02452 (NPI 1902169105) is a healthcare organization registered as an adult day care in Waltham, Massachusetts and active in the NPI registry since June 2012. The organization lists Wolf Gafanovich, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1902169105

Entity TypeOrganization

Primary Taxonomy261QA0600X

Legal Business Name411 WAVERLY OAKS RD, SUITE#214, WALTHAM, MA 02452

Location Address411 WAVERLY OAKS RDWaltham, MA 02452-8448

Mailing Address411 Waverly Oaks Rd Ste 214Waltham, MA 02452-8437 · (617) 513-2158 · Fax (617) 206-3195

Phone(617) 513-2158

Fax(617) 206-3195

Organization SubpartNo

Authorized OfficialWolf GafanovichClinical Director · (617) 513-2158

Enumeration DateJune 21, 2012

✔ NPI 1902169105 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

411 WAVERLY OAKS RD, Waltham, MA 02452

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Other Providers at the Same Location NPPES 20

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

MS. DORIS C PRINCE P.T.

Physical Therapist

411 WAVERLY OAKS RD
WALTHAM, MA 02452

Middlesex County (781) 894-6564

MRS. ELEANOR KRANZ SHRAGE C.E.I.S,M.S.W

Developmental Therapist

411 WAVERLY OAKS RD
WALTHAM, MA 02452

Middlesex County (781) 894-6564

DEIDRE ANN KING M.S. CCC-SLP

Speech-Language Pathologist

411 WAVERLY OAKS RD, BUILDING #3, SUITE 305
WALTHAM, MA 02452

Middlesex County (781) 894-6564

JUDITH C. SLEEPER MSW

Social Worker

411 WAVERLY OAKS RD, BLDG #3, SUITE 305
WALTHAM, MA 02452

Middlesex County (781) 894-6564

MS. LAURA IMPERATORE

Psychologist (School)

411 WAVERLY OAKS RD, BUILDING 3, SUITE 305
WALTHAM, MA 02452

Middlesex County (781) 894-6564

MRS. SARAH FLAHERTY MONAHAN OTR/L

Occupational Therapist

411 WAVERLY OAKS RD, SUITE 305
WALTHAM, MA 02452

Middlesex County (781) 894-6564

WAVERLY OAKS DENTAL, INC.

Dentist

411 WAVERLY OAKS RD, SUITE 318
WALTHAM, MA 02452

Middlesex County (781) 649-0022

RUTH HURWITZ EHRLICH M.ED

Speech-Language Pathologist

411 WAVERLY OAKS RD, BUILDING 3, SUITE 305
WALTHAM, MA 02452

Middlesex County (781) 894-6564

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 411 Waverly Oaks Rd, Suite#214, Waltham, Ma 02452's NPI number?

The NPI number for 411 Waverly Oaks Rd, Suite#214, Waltham, Ma 02452 is 1902169105. It was assigned to this organization in the NPPES registry on June 21, 2012.

Where is 411 Waverly Oaks Rd, Suite#214, Waltham, Ma 02452 located?

411 Waverly Oaks Rd, Suite#214, Waltham, Ma 02452 is located at 411 Waverly Oaks Rd, Waltham, MA 02452. The listed phone number is (617) 513-2158.

What is 411 Waverly Oaks Rd, Suite#214, Waltham, Ma 02452's specialty?

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

When was this NPI record last updated?

The NPPES record for 411 Waverly Oaks Rd, Suite#214, Waltham, Ma 02452 was last updated on June 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.