R&L SUPPORTIVE LIVING CORP. NPI 1164852505

NPI Information

  • NPI: 1164852505
  • Provider Name: R&L SUPPORTIVE LIVING CORP.
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 3754 JACKSON ST
    GARY, IN
    ZIP 46408
  • Phone: (219) 939-7556

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NPI Details

R&L SUPPORTIVE LIVING CORP. is an adult care home custodial care facility in Gary, IN. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. R&L SUPPORTIVE LIVING CORP. NPI is 1164852505. The provider is registered as an organization entity type.

The provider's business location address is:

3754 JACKSON ST
GARY, IN
ZIP 46408-226
Phone: (219) 939-7556

The provider's authorized official is Ramona Herron .
The authorized official title is President and has the following contact phone number (219) 939-7556.

The enumeration date for this NPI number is 11/21/2013 and was last updated on 11/21/2013.

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
1311ZA0620XCustodial Care FacilityAdult Care Home33-2340044INDIANAYes

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: 11/21/2025

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