Regal Adult Day Services, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

REGAL ADULT DAY SERVICES, LLC

Practice address

3924 Main St # 26
Suite 102
East Chicago, IN 46312-2990

Phone

(219) 413-5244

Fax

(219) 413-5245

NPI assigned

Dec 6, 2013

Organization subpart

Yes

Parent organization

KDL ENTERPRISES, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Kimberly J. Edwards

Title

President, KDL Enterprises, Inc.

Phone

(219) 781-7906

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1366873028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924-26 MAIN ST.",
            "address_2": "SUITE 102",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463122991",
            "telephone_number": "219-413-5244",
            "fax_number": "219-413-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 MAIN ST # 26",
            "address_2": "SUITE 102",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463122990",
            "telephone_number": "219-413-5244",
            "fax_number": "219-413-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL ADULT DAY SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KDL ENTERPRISES, INC.",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT, KDL ENTERPRISES, INC.",
        "authorized_official_telephone_number": "219-781-7906",
        "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": []
}

• Irma Maria Ramirez, LSW
• Filimon Ramos, PHYSICIAN ASSISTANT
• Naomi Ravelo, MS
• Jessica Rayner, NP
• Regal Adult Day Service Corp
• Regency Home Health Services
• Regency Hospital of Northwest Indiana, LLC
• Herbert Rettew
• Leilani Reyes, FNP-C
• Xavier Zaire Rias

• Adult Day Care Clinic/Center in East Chicago, IN
• Providers in East Chicago, 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 Dec 6, 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.