Great Lakes Senior Care, LLC
NPI 1376828228 belongs to Great Lakes Senior Care, LLC, a physical disabilities residential treatment facility with a practice location in Portage, IN. The NPI was issued on October 11, 2011, and the record was last updated in NPPES on October 11, 2011.
This record hasn't been updated in NPPES since 2011. Details may be out of date.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | 110126101 (IN) |
Practice location
Local context
Active NPPES records list 1 provider with physical disabilities residential treatment facility as the primary taxonomy within 25 miles of this practice location's ZIP code.
The same primary taxonomy is listed by 7 in Indiana and 926 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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