MEDICARE: ROBINSON ADULT DAY SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1659440337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBINSON ADULT DAY SERVICES INC

Provider Business Mailing Address
First Line	:	5900 E 3RD AVE
Second Line	:	P O BOX 2527
City	:	GARY
State	:	IN
Zip	:	46403-2307
Country	:	US
Telephone Number	:	219-939-6282
Fax Number	:	219-939-6283

Provider Business Practice Location Address
First Line	:	5900 E 3RD AVE
Second Line	:
City	:	GARY
State	:	IN
Zip	:	46403-2307
Country	:	US
Telephone Number	:	219-939-6282
Fax Number	:	219-939-6283

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MS. CHRIS NOEL ROBINSON
Credential	:	BS
Telephone Number	:	219-939-6282

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	08/22/2020

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