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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
4747 W 24TH AVE |
City | GARY |
State | IN |
Zip Code | 46406-2821 |
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 |
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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 |
Find all providers in zip 46406 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
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] |
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 |
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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.