HOMEBASED MENTAL HEALTH SERVICE (NPI# 1194282525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194282525 |
| Entity Type | Organization |
| Organization Name | HOMEBASED MENTAL HEALTH SERVICE |
| Practice Address |
2244 Blossom Dr Greenwood IN 46143 |
| Mailing Address |
2244 Blossom Dr Greenwood IN 46143-7739 |
| Practice Telephone | 3177782826 |
| Mailing Telephone | 3177782826 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | ALINA CASEY (OWNER) |
| Authorized Official Telephone | 3177782826 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 702 Veranda Chase Dr, Lawrenceville, GA 300447163 | 3177782826 |
| Street Address |
2244 BLOSSOM DR |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| 1467868190 | Kayla Herron | Occupational Therapist | 1009f Bexley Drive, Greenwood, IN 46143 | 2014-07-02 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689205437 | Meredith Brown | Counselor | 327 Main St Ste 500, Greenwood, SC 29646-2793 | 2020-01-30 |
| 1053967216 | Yasmine Mcclain | Counselor | 2900 Browning Road 520 Apt 7h, Greenwood, MS 38930-3846 | 2019-08-14 |
| 1073081634 | Rebekah George | Counselor | 105 Howard Rd, Greenwood, IN 46142-3734 | 2018-11-12 |
| 1922583681 | Kaislynn Archie | Counselor | 2504 Browning Road Ext, Greenwood, MS 38930-9417 | 2018-09-28 |
| 1497243653 | Chelsea S Leeds | Counselor | 500 Polk St, Greenwood, IN 46143-1628 | 2018-04-24 |
| 1053826610 | Sarah Malone | Counselor | 2504 Browing Road, Greenwood, MS 38930 | 2017-12-05 |
| 1215464607 | Catherine Johnson | Counselor | 522 West Park Avenue, Greenwood, MS 38930 | 2017-05-16 |
| 1588109672 | Verlyn Lewisboyd | Counselor | 7165 Kimberly Rd, Greenwood, LA 71033-3225 | 2016-12-27 |
| 1962946806 | Katelyn Hunter | Counselor | 48 N Emerson Ave Ste 650, Greenwood, IN 46143-5522 | 2016-12-12 |
| 1982156105 | Candice Due | Counselor | 3786 Harrison Crossing Ln, Greenwood, IN 46142-7616 | 2016-11-04 |
| Find all providers in GREENWOOD | ||||
Please comment or provide details below to improve the information on HOMEBASED MENTAL HEALTH SERVICE.
| 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.