Organization
INDEPENDENT ADULT DAY CARE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY LUGOSCH (PRESIDENT)
(317) 296-8815
Entity
Organization
Contact information
Practice address
1919 E 52ND ST STE 200, INDIANAPOLIS, IN 46205-1381
(317) 296-8815
(317) 983-2168
Mailing address
1919 E 52ND ST STE 200, INDIANAPOLIS, IN 46205-1381
(317) 296-8815
(317) 608-2802
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300009813
—
IN
Enumeration date
01/30/2018
Last updated
06/20/2024
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