COLLINS CARE SERVICES (NPI# 1194149757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194149757 |
| Entity Type | Organization |
| Organization Name | COLLINS CARE SERVICES |
| Practice Address |
4270 Burkhart West Dr D Indianapolis IN 46227-1465 |
| Practice Telephone | 3179871128 |
| Mailing Telephone | 3179871128 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |
| Authorized Official Name | ANGELA KRISTINA COLLINS (OWNER OPERATOR) |
| Authorized Official Telephone | 3179871128 |
| Authorized Official Credential | MT. ,HHA, CNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | CNA1005773 | IN | Residential Treatment Facilities |
| Street Address |
4270 BURKHART WEST DR D |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-1465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1023199486 | Southern Indiana Center for Independent Living, Inc | Residential Treatment Facility, Physical Disabilities | 157 Teke Burton Dr, Mitchell, IN 47446-1208 | 2006-10-18 |
| 1376828228 | Great Lakes Senior Care, LLC | Residential Treatment Facility, Physical Disabilities | 6040 Lute Rd, Portage, IN 46368-5008 | 2011-10-11 |
| City | INDIANAPOLIS |
| Zip Code | 46227 |
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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.