Provider Demographics
NPI:1477375798
Name:POSITIVE REFLECTIONS ADULT DAY CARE LLC
Entity type:Organization
Organization Name:POSITIVE REFLECTIONS ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHENITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-519-8875
Mailing Address - Street 1:615 N LONGWOOD ST STE 203
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-4264
Mailing Address - Country:US
Mailing Address - Phone:815-519-8875
Mailing Address - Fax:
Practice Address - Street 1:615 N LONGWOOD ST STE 203
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-4264
Practice Address - Country:US
Practice Address - Phone:815-519-8875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home