1528282720 NPI number — HENDRICKS COUNTY SENIOR SERVICES, INC

Table of content: OLIVER ARTEMIO LOPEZ RAMOS (NPI 1750197596)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528282720 NPI number — HENDRICKS COUNTY SENIOR SERVICES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HENDRICKS COUNTY SENIOR SERVICES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528282720
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1201 SYCAMORE LN
Provider Second Line Business Mailing Address:
P.O. BOX 448
Provider Business Mailing Address City Name:
DANVILLE
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46122-1440
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-745-4303
Provider Business Mailing Address Fax Number:
317-745-6253

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1201 SYCAMORE LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DANVILLE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46122-1440
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-745-4303
Provider Business Practice Location Address Fax Number:
317-745-6253
Provider Enumeration Date:
04/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LEACH
Authorized Official First Name:
BETH
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
317-745-4303

Provider Taxonomy Codes

  • Taxonomy code: 347C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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