NPIMap

Organization Active NPI

R&L Supportive Living Corp.

  • Adult Care Home Facility
  • Gary, IN
National Provider Identifier
1164852505
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
33-2340044 Issued in IN
Legal business name
R&L SUPPORTIVE LIVING CORP.
Practice address
3754 Jackson St
Gary, IN 46408-2226
Phone
(219) 939-7556
NPI assigned
Nov 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Ramona Herron
Title
President
Phone
(219) 939-7556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 33-2340044 IN Primary

Addresses

Primary practice location

3754 Jackson St
Gary, IN 46408-2226

Mailing address

3754 Jackson St
Gary, IN 46408-2226

National Provider Directory

National Provider Directory
Tax ID family
RL Supportive Living Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1164852505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3754 JACKSON ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464082226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 JACKSON ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464082226",
            "telephone_number": "219-939-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R&L SUPPORTIVE LIVING CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-939-7556"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "IN",
            "license": "33-2340044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.