Provider Demographics
NPI:1477187540
Name:INDEPENDENT ADULT DAY CARE CENTERS - FISHERS LLC
Entity Type:Organization
Organization Name:INDEPENDENT ADULT DAY CARE CENTERS - FISHERS LLC
Other - Org Name:INDEPENDENT ADULT DAY CARE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-296-8815
Mailing Address - Street 1:7318 CROSSING PL
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-2718
Mailing Address - Country:US
Mailing Address - Phone:317-296-8812
Mailing Address - Fax:
Practice Address - Street 1:7318 CROSSING PL
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2718
Practice Address - Country:US
Practice Address - Phone:317-296-8812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INDEPENDENT ADULT DAY CARE CENTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-27
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No253Z00000XAgenciesIn Home Supportive Care