Premier Adult Day Service

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PREMIER ADULT DAY SERVICE

Practice address

1467 Joliet St
Suite D
Dyer, IN 46311-2090

Phone

(219) 227-6612

Fax

(219) 227-6611

NPI assigned

May 20, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy R Collins

Title

Director of Operations

Phone

(219) 227-6612

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1033566997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 JOLIET ST",
            "address_2": "SUITE D",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463112090",
            "telephone_number": "219-227-6612",
            "fax_number": "219-227-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 JOLIET ST",
            "address_2": "SUITE D",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463112090",
            "telephone_number": "219-227-6612",
            "fax_number": "219-227-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ADULT DAY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "219-227-6612"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Dyer, IN
• Providers in Dyer, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.