Provider Demographics
NPI:1700024965
Name:A NEW DAY ADULT DAY SERVICES, INC.
Entity Type:Organization
Organization Name:A NEW DAY ADULT DAY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:R
Authorized Official - Last Name:KINCAID
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LSW
Authorized Official - Phone:260-927-3624
Mailing Address - Street 1:500 NORTH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:AUBURN
Mailing Address - State:IN
Mailing Address - Zip Code:46706-1683
Mailing Address - Country:US
Mailing Address - Phone:260-927-3624
Mailing Address - Fax:260-927-9160
Practice Address - Street 1:500 NORTH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:AUBURN
Practice Address - State:IN
Practice Address - Zip Code:46706-1683
Practice Address - Country:US
Practice Address - Phone:260-927-3624
Practice Address - Fax:260-927-9160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care