SOUTHERN INDIANA CENTER FOR INDEPENDENT LIVING, INC (NPI# 1023199486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023199486 |
| Entity Type | Organization |
| Organization Name | SOUTHERN INDIANA CENTER FOR INDEPENDENT LIVING, INC |
| Other Organization Name | SICIL HOME CARE SERVICES |
| Practice Address |
157 Teke Burton Dr Mitchell IN 47446-1208 |
| Mailing Address |
651 X St Bedford IN 47421-1943 |
| Practice Telephone | 8128496000 |
| Practice Fax Number | 8128496002 |
| Mailing Telephone | 8122779626 |
| Mailing Fax Number | 8122779628 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ALBERT TOLBERT (DIRECTOR) |
| Authorized Official Telephone | 8122779626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| SICIL Home Care Services | Other Name - Individual/Organization |
| Street Address |
157 TEKE BURTON DR |
| City | MITCHELL |
| State | IN |
| Zip Code | 47446-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023450483 | Holly Nicole Mathias | Occupational Therapist | 24 Teke Burton Drive, Mitchell, IN 47446 | 2013-07-25 |
| 1649440843 | Odulio Clinic Inc | Surgery | 92 State Rd 60e, Mitchell, IN 47446 | 2008-03-04 |
| 1184838005 | Brandon Alan Baker | Military Health Care Provider | Nsa Crane Medical Department Bldg 2516, 300 Hwy 361, Crane, IN 47446 | 2007-05-09 |
| 1932212347 | King Chiropractic Clinic Inc | Chiropractor | 1011 West Warren Street, Mitchell, IN 47446 | 2006-08-17 |
| 1811225717 | Kristi Jo Nissley | Nurse Practitioner | 2759 State Road 37, Mitchell, IN 47446 | 2009-12-03 |
| 1255525770 | Vanessa L Moore | Registered Nurse | 2900 W 16th Street, Bedford, IN 47446 | 2007-08-28 |
| 1801016597 | Hoosier Uplands Hospice | Home Health | 1500 West Main Street, Mitchell, IN 47446 | 2007-04-26 |
| 1184778003 | Mitchell Community Schools | Local Education Agency (LEA) | 441 N 8th St, Administration Center, Mitchell, IN 47446-1020 | 2007-01-22 |
| 1811559321 | Natalie Dawn Coleman | Nurse Practitioner | 537 Marion St, Mitchell, IN 47446-1026 | 2019-07-03 |
| 1134613482 | Kelsey Lepore | Specialist/Technologist | 1000 W Bishop Blvd, Mitchell, IN 47446-1080 | 2018-06-20 |
| Find all providers in zip 47446 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194149757 | Collins Care Services | Residential Treatment Facility, Physical Disabilities | 4270 Burkhart West Dr, D, Indianapolis, IN 46227-1465 | 2014-02-18 |
| 1417123985 | Senior Care of Kokomo, LLC Dba Comfort Keepers #566 | Residential Treatment Facility, Physical Disabilities | 1511 W Sycamore St Ste A, Kokomo, IN 46901-4230 | 2008-05-05 |
| 1467842039 | Melissa Goldstein | Residential Treatment Facility, Physical Disabilities | 8800 Spoon Dr, Indianapolis, IN 46219-4230 | 2015-02-03 |
| 1639569478 | Greenbriar Village, LLC | Residential Treatment Facility, Physical Disabilities | 8800 Spoon Dr, Indianapolis, IN 46219-4230 | 2015-02-02 |
| 1376828228 | Great Lakes Senior Care, LLC | Residential Treatment Facility, Physical Disabilities | 6040 Lute Rd, Portage, IN 46368-5008 | 2011-10-11 |
Please comment or provide details below to improve the information on SOUTHERN INDIANA CENTER FOR INDEPENDENT LIVING, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.