GEORGE JUNIOR REPUBLIC IN INDIANA (NPI# 1508140898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508140898 |
| Entity Type | Organization |
| Organization Name | GEORGE JUNIOR REPUBLIC IN INDIANA |
| Practice Address |
3925 S. Garthwaite Rd Gas City IN 46933 |
| Practice Telephone | 8127223137 |
| Practice Fax Number | 8123729299 |
| Mailing Telephone | 8127223137 |
| Mailing Fax Number | 8123729299 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | ALISA R COX (CLINICAL SUPERVISOR) |
| Authorized Official Telephone | 8127223137 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 253J00000X | Foster Care Agency | 54490098 | IN | Agencies |
| Y | 253J00000X | Foster Care Agency | 152783933 | IN | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | GEORGE JUNIOR REPUBLIC IN INDIANA, INC. | C/o Michelle Gerwick, 3925 S. Garthwaite Rd., Gas City, IN 46933 |
| Street Address |
3925 S. GARTHWAITE RD |
| City | GAS CITY |
| State | IN |
| Zip Code | 46933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194828897 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 301 Emain St, Gas City, IN 46933 | 2006-09-07 |
| 1720060957 | Steven Poe | Emergency Medicine | 330 N Wabash, Marion, IN 46933 | 2005-11-15 |
| 1619941572 | Julie Willmert | Specialist/Technologist | 205 E North H St, Gas City, IN 46933-1147 | 2006-02-15 |
| 1073961231 | Jenny Schamber | Counselor | 3925 S Garthwaite Rd, Gas City, IN 46933-1155 | 2016-05-28 |
| 1376598078 | Grant County Auditor | Ambulance | 3921 S Garthwaite Rd, Gas City, IN 46933-1155 | 2006-05-23 |
| 1720620974 | Kathryn Hilary Curtis-long | Social Worker | 3925 S Garthwaite Rd, Gas City, IN 46933-1155 | 2019-10-09 |
| 1669022257 | Madisen Paige Rodarte | Social Worker | 3925 S Garthwaite Rd, Gas City, IN 46933-1155 | 2019-09-16 |
| 1033762117 | Daniel Vinson | Marriage & Family Therapist | 3925 S Garthwaite Rd, Gas City, IN 46933-1155 | 2019-07-18 |
| 1912550062 | Brandy Stark | Social Worker | 3925 S Garthwaite Rd, Gas City, IN 46933-1155 | 2019-07-18 |
| 1407873458 | Hoosier Enterprises IIi, Inc. | Skilled Nursing Facility | 627 E North H St, Gas City, IN 46933-1233 | 2006-07-16 |
| Find all providers in zip 46933 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184906778 | Indiana Mentor | Foster Care Agency | 8925 N. Meridian Street, #250, Indianapolis, IN 46260 | 2011-09-09 |
| 1811200272 | Indiana Mentor | Foster Care Agency | 8925 N Meridian St Ste 250, Indianapolis, IN 46260-5372 | 2010-07-14 |
| 1659507010 | Second Baptist Church | Foster Care Agency | 3705 Kessler Blvd North Dr, Indianapolis, IN 46222-5800 | 2009-05-29 |
| 1689849283 | Villages of Indiana, Inc | Foster Care Agency | 612 E Boulevard, Kokomo, IN 46902-2271 | 2008-04-24 |
| 1215210075 | Family Ark, Inc. | Foster Care Agency | 215 Rainbow Way, Jeffersonville, IN 47130-5374 | 2011-09-27 |
| 1801107941 | National Mentor Healthcare LLC | Foster Care Agency | 8925 N Meridian St, Ste. 250, Indianapolis, IN 46260-2386 | 2010-06-23 |
| 1124349048 | Indiana Mentor | Foster Care Agency | 8925 N Meridian St, Suite 250, Indianapolis, IN 46260-2386 | 2010-06-15 |
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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.