MEDFORD ADHC
NPI 1932566056
Clinic/Center - Adult Day Care in Medford, MA
About Medford Adhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDFORD ADHC (NPI 1932566056) is a healthcare organization registered as an adult day care in Medford, Massachusetts and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Gennadiy Itskin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 22D2109401
Medford Adhc · Medford, MAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Medford Adhc's NPI number?
The NPI number for Medford Adhc is 1932566056. It was assigned to this organization in the NPPES registry on January 20, 2016.
Where is Medford Adhc located?
Medford Adhc is located at 101 Mystic Ave, Medford, MA 02155. The listed phone number is (617) 839-8299.
What is Medford Adhc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.
Does Medford Adhc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D2109401) is associated with this NPI, valid through February 23, 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 Medford Adhc was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.
