Active NPI
Continue Living Senior Center LLC
- Licensed Practical Nurse
- Gary, IN
National Provider Identifier
1255528386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 27046267A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 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 DirectoryNPI 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.