Healthcare Provider Details

I. General information

NPI: 1700024965
Provider Name (Legal Business Name): A NEW DAY ADULT DAY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2009
Last Update Date: 01/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 NORTH ST SUITE 1
AUBURN IN
46706-1683
US

IV. Provider business mailing address

500 NORTH ST SUITE 1
AUBURN IN
46706-1683
US

V. Phone/Fax

Practice location:
  • Phone: 260-927-3624
  • Fax: 260-927-9160
Mailing address:
  • Phone: 260-927-3624
  • Fax: 260-927-9160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHARLENE R KINCAID
Title or Position: EXECUTIVE DIRECTOR
Credential: MSW, LSW
Phone: 260-927-3624