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Great Lakes Senior Care, LLC — NPI 1376828228, Portage, IN | NPI Central

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NPI 1376828228

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Great Lakes Senior Care, LLC

NPI 1376828228 · Physical Disabilities Residential Treatment Facility · Portage, IN

Provider details

NPI number: 1376828228
Entity type: Organization
Primary specialty: Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: James Vanvliet, Managing Partner(219) 841-7559
License: 110126101 (IN)

Specialties & taxonomies

Physical Disabilities Residential Treatment FacilityPrimary320700000XLicense 110126101 (IN)
Residential Treatment Facilities

Practice location

6040 Lute Rd

Portage, IN 46368-5008

Phone: (219) 841-7559

Fax: (219) 763-4858

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

6040 Lute Rd

Portage, IN 46368-5008

Other names (DBA / former)

Doing business as: Home Helpers

Registry dates

Enumerated: 2011-10-11
Last updated: 2011-10-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.