ALZHEIMER'S SERVICES OF NORTHERN INDIANA, INC. (NPI# 1023136678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023136678 |
| Entity Type | Organization |
| Organization Name | ALZHEIMER'S SERVICES OF NORTHERN INDIANA, INC. |
| Other Organization Name | MILTON ADULT DAY SERVICES |
| Practice Address |
922 E Colfax Ave South Bend IN 46617-2806 |
| Practice Telephone | 5742324121 |
| Mailing Telephone | 5742324121 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GEORGE WILLIAM JACK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5742324121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
Respite Care Facility |
| Other Name | Type Code |
|---|---|
| Milton Adult Day Services | Doing Business As Name - Organization |
| Street Address |
922 E COLFAX AVE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861844771 | Center for Hospice and Palliative Care, Inc | Case Management | 922 E Colfax Ave, South Bend, IN 46617-2806 | 2016-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 385HR2065X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Physical Disabilities, Child |
| A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952644080 | Yvonka L Lower | Respite Care | 2714e700s, Columbiacity, IN 46725 | 2013-03-27 |
| City | SOUTH BEND |
| Zip Code | 46617 |
Please comment or provide details below to improve the information on ALZHEIMER'S SERVICES OF NORTHERN INDIANA, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.