GREAT LAKES ADULT LIVING
NPI 1295884930
Home Health in Gary, IN

Active since January 10, 2007
3700 JACKSON ST, GARY, IN 46408(219) 980-1625 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lakes Adult Living NPPES

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

GREAT LAKES ADULT LIVING (NPI 1295884930) is a healthcare organization registered as a home health in Gary, Indiana and active in the NPI registry since January 2007. The organization lists Gloria Nkechi Mbanu, President, as its authorized official.

NPPES Registry Identity

NPI1295884930
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameGREAT LAKES ADULT LIVING
Location Address3700 JACKSON STGary, IN 46408-2226
Mailing Address3843 Madison StGary, IN 46408-2728 · (219) 980-1839 · Fax (219) 980-1893
Organization SubpartNo
Authorized OfficialGloria Nkechi MbanuPresident · (219) 980-1625
Enumeration DateJanuary 10, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1295884930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
3700 JACKSON ST, Gary, IN 46408

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 Great Lakes Adult Living's NPI number?

The NPI number for Great Lakes Adult Living is 1295884930. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Great Lakes Adult Living located?

Great Lakes Adult Living is located at 3700 Jackson St, Gary, IN 46408. The listed phone number is (219) 980-1625.

What is Great Lakes Adult Living's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Adult Living was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.