Organization Active NPI

Continue Living Senior Center LLC

  • Licensed Practical Nurse
  • Gary, IN
National Provider Identifier
1255528386
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
27046267A Issued in IN
Legal business name
CONTINUE LIVING SENIOR CENTER LLC
Practice address
1475 W 20TH PL
Gary, IN 46407-2411
Phone
(219) 902-5384
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Mrs. Teresa L. Okoduwa, LPN
Title
Owner
Phone
(219) 902-5384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X 27046267A IN Primary

Addresses

Primary practice location

1475 W 20TH PL
Gary, IN 46407-2411

Mailing address

1475 W 20TH PL
Gary, IN 46407-2411
Phone (219) 902-5384

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1255528386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 W 20TH PL",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464072411",
            "telephone_number": "219-902-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 W 20TH PL",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464072411",
            "telephone_number": "219-902-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUE LIVING SENIOR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "OKODUWA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-902-5384",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27046267A",
            "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 Oct 2, 2007; 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.