FOUNTAIN OF YOUTH ADULT DAY CENTER NPI 1093598633

NPI Information

NPI: 1093598633
Provider Name: FOUNTAIN OF YOUTH ADULT DAY CENTER
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
700 SIBLEY ST
HAMMOND, IN
ZIP 46320
Phone: (708) 970-9475
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FOUNTAIN OF YOUTH ADULT DAY CENTER is an adult day care clinic center in Hammond, IN. FOUNTAIN OF YOUTH ADULT DAY CENTER NPI is 1093598633. The provider is registered as an organization entity type.

The provider's business location address is:

700 SIBLEY ST
HAMMOND, IN
ZIP 46320-635
Phone: (708) 970-9475

The provider's authorized official is Jasmeka Collins .
The authorized official title is Director and has the following contact phone number (708) 970-9475.

The enumeration date for this NPI number is 8/16/2023 and was last updated on 8/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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