R&L SUPPORTIVE LIVING CORP. (NPI# 1164852505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164852505 |
| Entity Type | Organization |
| Organization Name | R&L SUPPORTIVE LIVING CORP. |
| Practice Address |
3754 Jackson St Gary IN 46408-2226 |
| Practice Telephone | 2199397556 |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2013-11-21 |
| Authorized Official Name | RAMONA HERRON (PRESIDENT) |
| Authorized Official Telephone | 2199397556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
33-2340044 | IN | Nursing & Custodial Care Facilities |
| Street Address |
3754 JACKSON ST |
| City | GARY |
| State | IN |
| Zip Code | 46408-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497275788 | Brynn T Shelton | Home Health Aide | 4138 Ruthledge St, Gary, IN 46408 | 2017-06-27 |
| 1306243027 | Around The Clock Transportation | Non-emergency Medical Transport (VAN) | 3979 Cleveland St, Gary, IN 46408 | 2014-11-24 |
| 1710900956 | Home Health Services Inc | Home Health | 1281 W Ridge Road, Gary, IN 46408 | 2006-07-26 |
| 1023031978 | Nkechi Pauline Onyeukwu | Nurse Practitioner | 3814 Grant Street, Gary, IN 46408 | 2006-07-25 |
| 1093724007 | Geoffrey Okechukwu Onyeukwu | Family Medicine | 3814 Grant Street, Gary, IN 46408 | 2006-08-07 |
| 1629091863 | Home Health Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1281 W Ridge Road, Gary, IN 46408 | 2006-07-26 |
| 1952364648 | Trc - Indiana LLC | Clinic/Center | 4802 Broadway, Gary, IN 46408 | 2006-04-11 |
| 1073510244 | Broadway Foot Clinic Corporation | Podiatrist | 3290 Grant St, Suite 108, Gary, IN 46408-1015 | 2005-07-03 |
| 1205180676 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 3290 Grant St, Gary, IN 46408-1015 | 2012-11-06 |
| 1194830935 | Everest Healthcare Indiana, Inc. | Clinic/Center | 3290 Grant St, Gary, IN 46408-1015 | 2006-08-20 |
| Find all providers in zip 46408 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598005423 | National Mentor Healthcare LLC | Custodial Care Facility | 6032 W 7th Ave, Gary, IN 46406-1314 | 2013-03-01 |
| 1609193770 | Sandra A Scott | Custodial Care Facility | 300 Taft St, Gary, IN 46404-1016 | 2010-04-28 |
| 1760608699 | Arc Bridges, Inc | Custodial Care Facility | 440 N Knox St, Gary, IN 46403-2093 | 2007-04-18 |
| 1578789475 | Arc Bridges Inc | Custodial Care Facility | 151 W 46th Ave, Gary, IN 46408-3905 | 2007-04-18 |
| 1003032939 | Arc Bridges, Inc | Custodial Care Facility | 401 S Union St, Gary, IN 46403-2658 | 2007-04-18 |
| 1568688497 | Arc Bridges, Inc | Custodial Care Facility | 4635 Pierce St, Gary, IN 46408-3810 | 2007-04-18 |
| 1386860211 | Arc Bridges, Inc | Custodial Care Facility | 2270 Ranburn Dr, Gary, IN 46408-2456 | 2007-04-18 |
| 1235355165 | Arc Bridges, Inc | Custodial Care Facility | 2901 Beverly Dr, Gary, IN 46408-1909 | 2007-04-18 |
| 1780809863 | Arc Bridges, Inc. | Custodial Care Facility | 300 W 53rd Ave, Gary, IN 46410-1412 | 2007-04-16 |
| 1548340920 | Oldies But Goodies Adult Day Care, Inc | Custodial Care Facility | 741 W 25th Ave, Same, Gary, IN 46407-3524 | 2006-10-17 |
| Find all providers in GARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.