SOUTHPORT ADULT DAY CENTER (NPI# 1871633545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871633545 |
| Entity Type | Organization |
| Organization Name | SOUTHPORT ADULT DAY CENTER |
| Practice Address |
1427 Southview Dr Indianapolis IN 46227-5027 |
| Practice Telephone | 3175367245 |
| Practice Fax Number | 3175367241 |
| Mailing Telephone | 3175367245 |
| Mailing Fax Number | 3175367241 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LEAH JONES (PROGRAM COORDINATOR) |
| Authorized Official Telephone | 3175367245 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
IN | Ambulatory Health Care Facilities |
| Street Address |
1427 SOUTHVIEW DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-5027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861366 | Jhs Care Company, LLC | Clinic/Center | 2805 E 96th St, Indianapolis, IN 46240-1369 | 2020-04-30 |
| 1356975429 | Independent Adult Day Care Centers of Indiana, LLC | Clinic/Center | 8755 Guion Rd Ste A, Indianapolis, IN 46268-3048 | 2020-02-27 |
| 1003446550 | Independent Adult Day Care Centers of Indiana - Shelby Street | Clinic/Center | 2225 Shelby St, Indianapolis, IN 46203-4260 | 2020-01-23 |
| 1558912436 | Castleton United Methodist Church, Inc. | Clinic/Center | 7160 Shadeland Sta, Indianapolis, IN 46256-3915 | 2019-09-23 |
| 1295388585 | Advanced Adult Day Service | Clinic/Center | 5906 Gifford St, Indianapolis, IN 46228-1281 | 2019-07-17 |
| 1528391653 | Golden Gardens. LLC | Clinic/Center | 2636 N Mitthoeffer Pl, Indianapolis, IN 46229-1297 | 2009-09-08 |
| 1164920682 | Independent Adult Day Care Centers | Clinic/Center | 8755 Guion Rd, Indianapolis, IN 46268-3047 | 2018-01-30 |
| 1518149707 | Active Day In, Inc. | Clinic/Center | 7545 Rockville Rd, Indianapolis, IN 46214-3073 | 2007-11-29 |
| 1447432638 | Active Day In, Inc. | Clinic/Center | 9615 N College Ave, Indianapolis, IN 46280-1627 | 2007-11-29 |
| 1669599700 | Rg Care Inc | Clinic/Center | 8515 Cedar Place Dr, Suite 101, Indianapolis, IN 46240-2343 | 2007-03-23 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
Please comment or provide details below to improve the information on SOUTHPORT ADULT DAY CENTER.
| 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.