THE ARC OF INDIANA (NPI# 1225364672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225364672 |
| Entity Type | Organization |
| Organization Name | THE ARC OF INDIANA |
| Practice Address |
107 N Pennsylvania St Suite 800 Indianapolis IN 46204-2444 |
| Practice Telephone | 3179772375 |
| Practice Fax Number | 3179772385 |
| Mailing Telephone | 3179772375 |
| Mailing Fax Number | 3179772385 |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |
| Authorized Official Name | MR. JOHN DICKERSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3179772375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 200953390 | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200953390A | 05 |
| Street Address |
107 N PENNSYLVANIA ST SUITE 800 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46204-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1225691207 | Kawthar Mohamed | Student in an Organized Health Care Education/Training Program | 120 W Michigan St # Cl630, Indianapolis, IN 46204 | 2019-04-16 |
| 1457853962 | Tracie Lynn King | Physical Therapy Assistant | 500 N Capitol Ave Unit A, Indianapolis, IN 46204 | 2018-03-01 |
| 1013436831 | Kayla Michelle Jackson | Social Worker | 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 | 2017-09-13 |
| 1912434010 | Latrice N Baxter | Counselor | 201 N. Illinois Street, 16th Floor, South Tower, Indianpolis, IN 46204 | 2017-05-19 |
| 1750820643 | Jcpl, LLC | Optometrist | 751 Massachusetts Ave, Indianapolis, IN 46204 | 2017-02-13 |
| 1922546969 | Makenzie Brinker | Specialist/Technologist | 800 N. Capital Ave, 420, Indianapolis, IN 46204 | 2017-02-10 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1194176263 | Bradley Cox | Dentist | 451 E Market St Apt 448, Indianapolis, IN 46204 | 2016-06-29 |
| Find all providers in zip 46204 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714318 | Latisha Clark | Day Training, Developmentally Disabled Services | 4909 E 18th St, Indianapolis, IN 46218-4609 | 2020-09-11 |
| 1821576877 | Kreation Residential Services | Day Training, Developmentally Disabled Services | 9941 E 42nd St, Indianapolis, IN 46235-1675 | 2018-08-01 |
| 1720588072 | Indiana Support Services Group LLC | Day Training, Developmentally Disabled Services | 921 E 86th St Ste 205, Indianapolis, IN 46240-1841 | 2018-02-13 |
| 1205334208 | Input Residential | Day Training, Developmentally Disabled Services | 8117 E Washington St, Indianapolis, IN 46219-6813 | 2018-01-25 |
| 1659746709 | The Altruist Group, LLC | Day Training, Developmentally Disabled Services | 9165 Otis Ave, Suite 235, Indianapolis, IN 46216-2027 | 2015-12-01 |
| 1275958001 | Advocating Angels | Day Training, Developmentally Disabled Services | 55 S State Ave Ste 302, Indianapolis, IN 46201-3895 | 2014-03-04 |
| 1114225992 | Kathryn Huff | Day Training, Developmentally Disabled Services | 1003 S Fleming St, Indianapolis, IN 46241-2412 | 2011-03-03 |
| 1558582098 | Goodwill Industries of Central Indiana | Day Training, Developmentally Disabled Services | 413 N Tremont St, Indianapolis, IN 46222-3772 | 2007-05-01 |
| 1720142953 | Quinton Residential Living | Day Training, Developmentally Disabled Services | 2511 E 46th St, Suite J-3, Indianapolis, IN 46205-2460 | 2006-12-21 |
| 1255406500 | Heartland Residential Services, Inc. | Day Training, Developmentally Disabled Services | 156 E Market St, Suite 200, Indianapolis, IN 46204-3290 | 2006-11-22 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46204 |
Please comment or provide details below to improve the information on THE ARC OF INDIANA.
| 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.