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JOHN H. BONER COMMUNITY CENTER NPI 1740311653


NPI Information

NPI: 1740311653
Provider Name: JOHN H. BONER COMMUNITY CENTER

Doing Business As: ELDER ALTERNATIVE ADULT DAY SERVICES

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
2236 E 10TH ST
INDIANAPOLIS, IN
ZIP 46201
Phone: (317) 633-8210
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JOHN H. BONER COMMUNITY CENTER is an adult day care clinic center in Indianapolis, IN. JOHN H. BONER COMMUNITY CENTER NPI is 1740311653. The provider is registered as an organization entity type.
The provider Is Doing Business As Elder Alternative Adult Day Services.

The provider's business location address is:

2236 E 10TH ST
INDIANAPOLIS, IN
ZIP 46201-006
Phone: (317) 633-8210
Fax: (317) 633-3006

The provider's authorized official is James Taylor .
The authorized official title is Executive Director and has the following contact phone number (317) 633-8210.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/12/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1347B00000XBusNo
2261QA0600XClinic/CenterAdult Day CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100108120MEDICAIDINDIANA

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: 4/28/2024

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