INDIANA DEVELOPMENTAL TRAINING CENTER LLC


Address: 11075 N Pennsylvania St, Indianapolis, IN 46280
Phone: 3178150505

INDIANA DEVELOPMENTAL TRAINING CENTER LLC (NPI# 1528197381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528197381
Entity Type Organization
Organization Name INDIANA DEVELOPMENTAL TRAINING CENTER LLC
Practice Address 11075 N Pennsylvania St
Indianapolis
IN 46280
Mailing Address Po Box 278
Dousman
WI 53118
Practice Telephone 3178150505
Practice Fax Number 3178151645
Mailing Telephone 2625695515
Mailing Fax Number 2625699962
Enumeration Date 2007-03-05
Last Update Date 2020-08-22
Authorized Official Name MS. M DEBORAH FRISK (VICE PRESIDENT)
Authorized Official Telephone 2625695515
Authorized Official Credential MSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities IN Residential Treatment Facilities

Office Location

Street Address 11075 N PENNSYLVANIA ST
City INDIANAPOLIS
State IN
Zip Code 46280

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033660188 Lindsay Russell Nurse Practitioner 11075 N Pennsylvania St, Indianapolis, IN 46280-1091 2016-10-24
1376980953 Community Alternatives Indiana, Inc. Community/Behavioral Health 11075 N Pennsylvania St, Indianapolis, IN 46280-1091 2013-05-23
1558628362 Warner Transitional Services LLC Intermediate Care Facility, Mentally Retarded 11075 N Pennsylvania St, Indianapolis, IN 46280-1091 2012-04-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689273112 Melissa Ramos Bauzo, LLC Marriage & Family Therapist 3021 E 98th Street, 110, Indianapolis, IN 46280 2020-10-26
1609240613 Benjamin C Campbell Ophthalmology 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 2015-11-15
1184872434 Scott Alan Hartman Physical Medicine & Rehabilitation 3077 East 96th Street, 265, Indianapolis, IN 46280 2008-08-28
1780711515 Dr Lynn Burford P C Optometrist 10485 N Pennsylvania, Indianapolis, IN 46280 2007-02-28
1992875868 Lynn Burford Optometrist 10485 N. Pennsylvania, Indianapolis, IN 46280 2006-11-08
1790797694 Fiona Jane Kress Psychologist 3021 E. 98th Street, Suite 180, Kress Psychological Services, LLC, Indianapolis, IN 46280 2006-08-12
1780178384 Laboratory Corporation of America Holdings Clinical Medical Laboratory 201 Pennsylvania Pkwy Ste 200, Indianapolis, IN 46280 2018-06-18
1154709830 Justin P Hawk Physician Assistant 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280 2015-05-13
1386059905 Justin Stano Internal Medicine 201 Pennsylvania Pkwy, Indianapolis, IN 46280 2014-06-23
1194138677 Emilia M Kareem Physical Therapist 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280 2014-06-03
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184816274 Together We Can, Incorporated Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 7314 Woodside Dr, Indianapolis, IN 46260-3137 2007-08-13
1811025455 Sycamore Rehabilitation Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1717 W 86th St, Suite 300, Indianapolis, IN 46260-2050 2007-03-02
1992801385 Damar Services Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6324 Kentucky Ave, Indianapolis, IN 46221-9704 2006-09-15
1790909901 Damar Services Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6067 Decatur Blvd, Indianapolis, IN 46241-9606 2007-04-12
1518063908 Damar Services Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6067 Decatur Blvd, Indianapolis, IN 46241-9606 2006-09-15
1184720575 Damar Services Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6067 Decatur Blvd, Indianapolis, IN 46241-9606 2006-09-15
1972607117 Damar Services Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6067 Decatur Blvd, Indianapolis, IN 46241-9606 2006-09-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861999450 Pathfinder Services Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4438 Haney Ct, New Haven, IN 46774-1777 2018-04-10
1548796089 Branches Residential Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 13096 Glenside Dr, Fishers, IN 46037-8863 2017-05-03
1346691177 Miami Homecare Services, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1912 Miami St, South Bend, IN 46613-2915 2016-06-22
1033418066 Bona Vista Programs, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3770 W 80 N, Kokomo, IN 46901-3854 2011-03-16
1124327150 Bona Vista Programs, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 112 Westmoreland Dr E, Kokomo, IN 46901-5104 2011-03-16
1366745010 Adec Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3302 N. Main St, Michawaka, IN 46545-3148 2010-12-17
1457670044 P L Ford Homes/indiana Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 519 E 60th Ave, Merrillville, IN 46410-3068 2010-05-22
1043533177 Peak Community Services Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1234 S 50 E, Winamac, IN 46996-8590 2010-03-03
1154644276 Peak Community Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1141 19th St, Logansport, IN 46947-4507 2010-03-03
1316260441 Peak Community Services Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1625 High St, Logansport, IN 46947-2863 2010-03-03
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Competitor

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City INDIANAPOLIS
Zip Code 46280

Improve Information

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Dataset Information

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.

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