INDEPENDENT ADULT DAY CARE CENTERS OF INDIANA - SHELBY STREET NPI 1003446550

Clinic/Center (Adult Day Care) in Indianapolis, IN

Organization Clinic/Center Adult Day Care

About INDEPENDENT ADULT DAY CARE CENTERS OF INDIANA - SHELBY STREET

Independent Adult Day Care Centers Of Indiana - Shelby Street is a provider established in Indianapolis, Indiana specializing in clinic/center. The NPI number of Independent Adult Day Care Centers Of Indiana - Shelby Street is 1003446550 and was assigned on January 2020. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated January 2020. The authorized official of this NPI record is Mr. Ben Lopiccolo (Business Analyst)

NPI

1003446550

Provider NameINDEPENDENT ADULT DAY CARE CENTERS OF INDIANA - SHELBY STREET
Provider Location Address2225 SHELBY ST INDIANAPOLIS, IN 46203
Provider Mailing Address2225 SHELBY ST INDIANAPOLIS, IN 46203
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date01-23-2020
Last Update Date01-23-2020

Primary Taxonomy

Taxonomy Code261QA0600X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAdult Day Care

Business Address

INDEPENDENT ADULT DAY CARE CENTERS OF INDIANA - SHELBY STREET
2225 SHELBY ST
INDIANAPOLIS, IN
ZIP 46203
Phone: (317) 296-8815

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Mailing Address

INDEPENDENT ADULT DAY CARE CENTERS OF INDIANA - SHELBY STREET
2225 SHELBY ST
INDIANAPOLIS, IN
ZIP 46203
Phone: (317) 296-8815

Authorized Official

Authorized Official NameMR. BEN LOPICCOLO
Authorized Official TitleBUSINESS ANALYST
Authorized Official Phone(317) 296-8815

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.