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).
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 |
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 |
Street Address |
11075 N PENNSYLVANIA ST |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46280 |
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 |
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 |
Find all providers in zip 46280 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
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] |
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 |
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 |
Find all providers with the same taxonomy |
City | INDIANAPOLIS |
Zip Code | 46280 |
Please comment or provide details below to improve the information on INDIANA DEVELOPMENTAL TRAINING CENTER LLC.
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.