PARKDALE CENTER LLC - NPI 1568834992 - Substance Abuse Rehabilitation Facility in Chesterton, IN

Q: What is Parkdale Center LLC's NPI number?

The NPI number for Parkdale Center LLC is 1568834992. It was assigned to this organization in the NPPES registry on October 26, 2015.

Q: What is Parkdale Center LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

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About Parkdale Center Llc NPPES

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

PARKDALE CENTER LLC (NPI 1568834992) is a healthcare organization registered as a substance abuse rehabilitation facility in Chesterton, Indiana and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through October 21, 2027 and lists Rodrigo Garcia, Owner, as its authorized official.

NPPES Registry Identity

NPI1568834992

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NamePARKDALE CENTER LLC

Location Address350 INDIAN BOUNDARY RDChesterton, IN 46304-1511

Mailing Address350 Indian Boundary RdChesterton, IN 46304-1511 · (888) 883-8433

Phone(888) 883-8433

Organization SubpartNo

Authorized OfficialRodrigo GarciaOwner · (219) 743-2477

Enumeration DateOctober 26, 2015

Last NPPES UpdateApril 26, 2023

NPPES CertifiedApril 26, 2023

✔ NPI 1568834992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

350 INDIAN BOUNDARY RD, Chesterton, IN 46304

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 15D2103913

Parkdale Center · Chesterton, IN

Active · expires Oct 21, 2027

CLIA Number15D2103913

Laboratory TypePhp -Iop

Certificate Effective DateOctober 22, 2025

Certificate Expiration DateOctober 21, 2027

Laboratory DirectorDavid Cummins

Laboratory Phone(888) 883-8433

Laboratory LocationParkdale Center350 Indian Boundary Rd, Chesterton, IN 46304

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASMINE DIXON LMHC

Counselor (Mental Health)