Organization Active NPI

Southport Adult Day Center

  • Adult Day Care Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1871633545
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SOUTHPORT ADULT DAY CENTER
Practice address
1427 Southview Dr
Indianapolis, IN 46227-5027
Phone
(317) 536-7245
Fax
(317) 536-7241
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Leah Jones
Title
Program Coordinator
Phone
(317) 536-7245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X IN Primary

Addresses

Primary practice location

1427 Southview Dr
Indianapolis, IN 46227-5027

Mailing address

1427 Southview Dr
Indianapolis, IN 46227-5027
Phone (317) 536-7245

National Provider Directory

National Provider Directory

Locations

1427 Southview Dr
Indianapolis, IN 46227
Phone (317) 536-7245

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871633545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 SOUTHVIEW DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462275027",
            "telephone_number": "317-536-7245",
            "fax_number": "317-536-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 SOUTHVIEW DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462275027",
            "telephone_number": "317-536-7245",
            "fax_number": "317-536-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPORT ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "317-536-7245"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.