Provider Demographics
NPI:1548394877
Name:RIVERVIEW ADULT DAY CENTER
Entity Type:Organization
Organization Name:RIVERVIEW ADULT DAY CENTER
Other - Org Name:RIVERVIEW ADULT DAY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-293-6886
Mailing Address - Street 1:2715 E JACKSON BLVD
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46516-5053
Mailing Address - Country:US
Mailing Address - Phone:574-293-6886
Mailing Address - Fax:574-295-9290
Practice Address - Street 1:2715 E JACKSON BLVD
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46516-5053
Practice Address - Country:US
Practice Address - Phone:574-293-6886
Practice Address - Fax:574-295-9290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services