PROVIDENCE SELF SUFFICIENCY MINISTRIES INC (NPI# 1477603538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477603538 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE SELF SUFFICIENCY MINISTRIES INC |
| Practice Address |
8037 Unruh Dr Georgetown IN 47122-8759 |
| Practice Telephone | 8129511878 |
| Practice Fax Number | 8129511659 |
| Mailing Telephone | 8129511878 |
| Mailing Fax Number | 8129511659 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-10-24 |
| Authorized Official Name | BARBARA A ZELLER (PRESIDENT/CEO) |
| Authorized Official Telephone | 8129511878 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200358070 | 05 |
| Street Address |
8037 UNRUH DR |
| City | GEORGETOWN |
| State | IN |
| Zip Code | 47122-8759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740330364 | Providence Self Sufficiency Ministries | Private Vehicle | 8037 Unruh Dr, Georgetown, IN 47122-8759 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609054097 | Rush Memorial Hospital | Skilled Nursing Facility | 1002 Sister Barbara Way, Georgetown, IN 47122 | 2008-02-07 |
| 1033322110 | Victoria S Evans | Occupational Therapy Assistant | 1504 Allen Dr, Georgetown, IN 47122 | 2007-05-07 |
| 1285706580 | William Thomas Steinwedel | Dentist | 7614 Sr 64, Suite B, Georgetown, IN 47122 | 2006-11-14 |
| 1942583281 | Teresa Lea Shaffer | Pharmacist | 6310 Forest Grove Dr Ne, Georgetown, IN 47122-7764 | 2011-09-22 |
| 1164553004 | Tonja F Foster | Physical Therapist | 3108 Brazil Lake Pkwy, Georgetown, IN 47122-8602 | 2007-03-09 |
| 1710436613 | Rebecca Todd | Physical Therapist | 7105 Branden Dr, Georgetown, IN 47122-8612 | 2016-10-03 |
| 1912139593 | Mary Margaret Carnahan | Counselor | 7485 State Road 64, Georgetown, IN 47122-8735 | 2009-08-17 |
| 1093378978 | Peace for Life Counseling, LLC | Clinic/Center | 7485 State Road 64, Georgetown, IN 47122-8735 | 2019-04-17 |
| 1467722074 | Providence Self Sufficiency Ministries, Inc. | Home Health | 1400 Cristiani Way, Georgetown, IN 47122-8783 | 2012-01-12 |
| 1245514827 | Edward Riggle Jr. | Pharmacist | 9012 Richland Dr, Georgetown, IN 47122-8830 | 2011-09-30 |
| Find all providers in zip 47122 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619980018 | Fellowship Health Resources, Inc | Community Based Residential Treatment Facility, Mental Illness | 23769 Shortly Rd, Georgetown, DE 19947-4754 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326660804 | New Beginning Mental Health LLC | Community Based Residential Treatment Facility, Mental Illness | 2017 N Arbogast St Apt 0e, Griffith, IN 46319-1273 | 2020-05-07 |
| 1346711348 | Inspiration Ministries Inc | Community Based Residential Treatment Facility, Mental Illness | 138 E 7th St, Auburn, IN 46706-1839 | 2018-12-17 |
| 1508378134 | Micare Home Health Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 6036 E 42nd St, Indianapolis, IN 46226-4910 | 2017-11-05 |
| 1033648126 | Bryce Dorsey | Community Based Residential Treatment Facility, Mental Illness | 7859 Danube St, Indianapolis, IN 46239-9296 | 2017-06-12 |
| 1346630118 | Renita Ware | Community Based Residential Treatment Facility, Mental Illness | 1003 Colfax St, Gary, IN 46406-1903 | 2015-01-30 |
| 1891185849 | L.i.f.e. Adult Day Academy | Community Based Residential Treatment Facility, Mental Illness | 5421 Homestead Rd, Fort Wayne, IN 46814-4964 | 2015-01-29 |
| 1033528401 | Nancy Spiegla | Community Based Residential Treatment Facility, Mental Illness | 356 S Boo Rd, Burns Harbor, IN 46304-9749 | 2014-08-10 |
| 1841609641 | Yvonne Williams | Community Based Residential Treatment Facility, Mental Illness | 444 Fillmore St, Gary, IN 46402-1036 | 2014-08-05 |
| 1386889459 | Top Notch Construction | Community Based Residential Treatment Facility, Mental Illness | 4710 W 900 N, Wheatfield, IN 46392-9684 | 2008-12-03 |
| 1295905263 | The Children's Campus, Inc | Community Based Residential Treatment Facility, Mental Illness | 216 S Logan St, Mishawaka, IN 46544-1708 | 2008-03-06 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 47122 |
Please comment or provide details below to improve the information on PROVIDENCE SELF SUFFICIENCY MINISTRIES INC.
| 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.