Southlake Tricity Rba in Lake Station - Custodial Care Facility
Southlake Tricity Rba - NPI 1972637171
Southlake Tricity Rba is a Custodial Care Facility in Lake Station, Indiana. Southlake Tricity Rba practices all healthcare services and medical treatments related to Custodial Care Facility. The NPI Number for Southlake Tricity Rba is 1972637171. The last update date is 2020-08-22.
Southlake Tricity Rba's current location address is 2075 Ripley St, Lake Station, Indiana. You can contact this provider via phone number 2199629437. The mailing address for Southlake Tricity Rba is 2075 Ripley St, Lake Station, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southlake Tricity Rba |
|---|---|
| Address | 2075 Ripley St, Lake Station, Indiana |
| Phone Number | 2199629437 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Krumwied D Robert |
| Credentials | MHA |
| Telephone Number | 2193926010 |
NPI Number Detail
| NPI Number | 1972637171 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2075 Ripley St |
|---|---|
| City | Lake Station |
| State | Indiana (IN) |
| Post Code | 464051161 |
| Phone Number | 2199629437 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Custodial Care Facility |
|---|---|
| Taxonomy | 311Z00000X |
|
Definition: A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision |
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Post Comment/ Review Below
What is the Southlake Tricity Rba's unique identification number?
The Southlake Tricity Rba has been assigned the NPI (National Provider Identifier) Number 1972637171 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Southlake Tricity Rba's facilities are geographically located?
The facilities of Southlake Tricity Rba are physically situated at the following location: 2075 Ripley St, Lake Station, IN, 464051161.
What is Southlake Tricity Rba's specialized field of practice, and what is the corresponding taxonomy classification code?
The Southlake Tricity Rba's area of specialization is Custodial Care Facility, and the corresponding taxonomy code that categorizes this field of practice is 311Z00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1972637171 to Southlake Tricity Rba?
The Centers for Medicare & Medicaid Services assigned the 1972637171 to Southlake Tricity Rba on 2007-03-16.
As of what date were the details related to Southlake Tricity Rba most recently updated or revised?
The information pertaining to Southlake Tricity Rba, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.