MIDDLE PASSAGE, INCORPORATED


Address: 4747 W 24th Ave, Gary, IN 46406-2821
Phone: 2199494747

MIDDLE PASSAGE, INCORPORATED (NPI# 1184757320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184757320
Entity Type Organization
Organization Name MIDDLE PASSAGE, INCORPORATED
Practice Address 4747 W 24th Ave
Gary
IN 46406-2821
Practice Telephone 2199494747
Practice Fax Number 2199494746
Mailing Telephone 2199494747
Mailing Fax Number 2199494746
Enumeration Date 2007-03-14
Last Update Date 2020-08-22
Authorized Official Name MRS. MARGO OLEVIER SUGGS (ADMINISTRATIVE ASSISTANT)
Authorized Official Telephone 2199494747
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 4747 W 24TH AVE
City GARY
State IN
Zip Code 46406-2821

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265049845 Rebecca Soboleski Peer Specialist 4747 W 24th Ave, Gary, IN 46406-2821 2020-09-28
1982213468 Iris Jeffries Technician 4747 W 24th Ave, Gary, IN 46406-2821 2020-07-30
1194384073 Khaliah Amani Herbert Technician, Health Information 4747 W 24th Ave, Gary, IN 46406-2821 2019-06-13
1235695206 Sharon Maggie Kelly Community Based Residential Treatment Facility, Mental Illness 4747 W 24th Ave, Gary, IN 46406-2821 2019-02-14
1033697032 Ladonna Lucille Bell Registered Nurse 4747 W 24th Ave, Gary, IN 46406-2821 2018-08-01
1154819597 Zakia Brodnax Technician, Health Information 4747 W 24th Ave, Gary, IN 46406-2821 2018-05-01
1184153827 Stacey Williams Registered Nurse 4747 W 24th Ave, Gary, IN 46406-2821 2017-06-07
1205373347 Terronda Hurn Registered Nurse 4747 W 24th Ave, Gary, IN 46406-2821 2017-01-27
1588036974 Demia Chandler Nurse's Aide 4747 W 24th Ave, Gary, IN 46406-2821 2015-10-24
1871965384 Danielle Elizabeth Carter Licensed Practical Nurse 4747 W 24th Ave, Gary, IN 46406-2821 2015-10-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134380009 Aspire Academy Local Education Agency (LEA) 4900 W 15th Ave, Gary, IN 46406 2008-06-23
1821118589 Comprehensive Physical Therapy Physical Therapist 7501 W. 15th Ave, Gary, IN 46406 2007-03-29
1205973336 Comprehensive Therapy, Inc. Physical Therapist 7501 W. 15th Ave., Gary, IN 46406 2007-01-30
1588603286 Bryan Michael Buksar Physical Therapist 7101 West 17th Avenue, Gary, IN 46406 2006-06-06
1285753103 Comprehensive Care Preventive Medicine 7501 W. 15th Ave., Gary, IN 46406 2007-03-29
1891832929 Michael Foreit General Practice 7501 W. 15th Ave., Gary, IN 46406 2007-01-30
1740327873 Frank Messana General Practice 7501 W. 15th Ave., Gary, IN 46406 2007-01-30
1760651863 Tolanda Somerville Speech-Language Pathologist 5901 W 7th Ave, Gary, IN 46406-1311 2008-02-22
1598934697 Lisa Previs Developmental Therapist 5901 W 7th Ave, Gary, IN 46406-1311 2008-02-22
1598005423 National Mentor Healthcare LLC Custodial Care Facility 6032 W 7th Ave, Gary, IN 46406-1314 2013-03-01
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710599154 We Are The Village Inc. Community/Behavioral Health 623 Washington St, Gary, IN 46402-2401 2020-08-18
1790154417 Edgewater Systerms for Balanced Living Community/Behavioral Health 1106 West 6 Th Avenue, Gary, IN 46402 2015-09-23
1407291883 Become Fabulous Community/Behavioral Health 1534 Garfield St, Gary, IN 46404-2725 2013-04-30
1184068264 Timilla's Mentoring Center Community/Behavioral Health 1601 Broadway, Gary, IN 46407-2239 2013-04-19
1841634920 Women In Unity Community/Behavioral Health 728 Georgia St, Gary, IN 46402-2613 2013-04-19
1659715753 Women of Purpose & Destiny Community/Behavioral Health 5025 Madison St, Gary, IN 46408-4642 2013-04-19
1720422827 Tip Toe Inn Community/Behavioral Health 839 Broadway # 104, Gary, IN 46402-2414 2013-04-19
1669799672 Catholic Charities Diocese of Gary Inc Community/Behavioral Health 940 Broadway, Gary, IN 46402-2906 2010-04-29
1154504462 Inner Connections Counseling & Consulting LLC Community/Behavioral Health 1976 Ohio St, Gary, IN 46407-2822 2007-12-10
1841412996 Metro Treatment of Gary Lp Community/Behavioral Health 8000 Melton Rd., Gary, IN 46403-3114 2007-05-02
Find all providers in GARY

Competitor

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City GARY
Zip Code 46406

Improve Information

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Dataset Information

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.

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