Eastgate Christian Church Dba Autumn Leaves of Eastgate Adult Day

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

EASTGATE CHRISTIAN CHURCH DBA AUTUMN LEAVES OF EASTGATE ADULT DAY

Doing business as

Autumn Leaves of Eastgate Adult Day Center

Practice address

8100 E 16TH St
Indianapolis, IN 46219-2801

Phone

(317) 820-3233

NPI assigned

Feb 6, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Schellie Clemons

Title

Executive Director

Phone

(317) 820-3233

Specialties & licenses 1

Addresses

Other names 1

• Autumn Leaves of Eastgate Adult Day Center Doing business as

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1326801879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 E 16TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462192801",
            "telephone_number": "317-820-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 E 16TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462192801",
            "telephone_number": "317-820-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTGATE CHRISTIAN CHURCH DBA AUTUMN LEAVES OF EASTGATE ADULT DAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "SCHELLIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-820-3233",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Leaves of Eastgate Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tajah Latrice Joi East
• Babbie Brae Easter, OTR
• James Ryan Easter, MD
• Phillip Bruce Easter, D.D.S.
• Janet Schatz Easterly, P.T.
• Jaiden Lynae Eastom, MD
• Debra Easton
• Patricia Ann Easton, RN
• Eastpointe Family Dentistry, LLC
• Eastside Chiropractic Corporation

• Adult Day Care Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Adult Day Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.