Oldies But Goodies Adult Day Care, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

OLDIES BUT GOODIES ADULT DAY CARE, INC

Practice address

741 W 25TH Ave
Same
Gary, IN 46407-3524

Phone

(219) 886-1670

Fax

(219) 886-1670

NPI assigned

Oct 17, 2006

Last updated

May 23, 2008By 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

Mrs. Angela Yvett Biddings, LPN

Title

Executive Director

Phone

(219) 886-1670

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1548340920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 W 25TH AVE",
            "address_2": "SAME",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464073524",
            "telephone_number": "219-886-1670",
            "fax_number": "219-886-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 W 25TH AVE",
            "address_2": "SAME",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464073524",
            "telephone_number": "219-886-1670",
            "fax_number": "219-886-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDIES BUT GOODIES ADULT DAY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "BIDDINGS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "YVETT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "219-886-1670",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200266600",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.