Indiana Adult Day Care Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

054990 Issued in PA

Legal business name

INDIANA ADULT DAY CARE INC

Doing business as

SeniorCARE Indiana

Practice address

1220 Wayne Ave
Indiana, PA 15701-3514

Phone

(724) 464-2273

NPI assigned

Sep 7, 2011

Last updated

Sep 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Herbert H Hennell

Title

Dir. of Reimbursement

Phone

(412) 963-9150

Specialties & licenses 1

Addresses

Other names 1

• SeniorCARE Indiana Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaime Lee Clark

  • Social Worker
  • Indiana, PA
  • NPI 1467095745
  NPD (past)
• Sherry Cowan, COTA/L

  • Occupational Therapy Assistant
  • Indiana, PA
  • NPI 1841197514
  NPD (past)

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1225319056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SIGMA DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382826",
            "telephone_number": "412-963-9150",
            "fax_number": "412-963-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 WAYNE AVE",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013514",
            "telephone_number": "724-464-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA ADULT DAY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "HENNELL",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIR. OF REIMBURSEMENT",
        "authorized_official_telephone_number": "412-963-9150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "PA",
            "license": "054990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SeniorCARE Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Indiana, PA
• Providers in Indiana, PA by specialty
• Adult Day Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.