RESIDENTIAL CRF, INC. (NPI# 1538200167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538200167 |
| Entity Type | Organization |
| Organization Name | RESIDENTIAL CRF, INC. |
| Practice Address |
6155 W 800 N Fountaintown IN 46130-9794 |
| Mailing Address |
1117 N Central Ave Connersville IN 47331-2126 |
| Practice Telephone | 3178357319 |
| Mailing Telephone | 7658255129 |
| Mailing Fax Number | 7658250074 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RAYMOND A MAUGER (PRESIDENT) |
| Authorized Official Telephone | 7658255129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477694602 | Residential Crf, Inc. | Intermediate Care Facility, Mentally Retarded | 556 S Co Rd 550 W, Connersville, IN 47331 | 2007-02-09 |
| 1538200092 | Residential Crf, Inc. | Intermediate Care Facility, Mentally Retarded | 1725 W Country Club Rd, Connersville, IN 47331-1003 | 2007-02-09 |
| 1902947559 | Residential Crf, Inc. | Intermediate Care Facility, Mentally Retarded | 1305 Q Ave, New Castle, IN 47362-1934 | 2007-02-08 |
| 1174664791 | Residential Crf, Inc. | Intermediate Care Facility, Mentally Retarded | 100 S Gray Rd, Connersville, IN 47331-1061 | 2007-02-08 |
| 1326189903 | Residential Crf, Inc. | Intermediate Care Facility, Mentally Retarded | 405 S Gray Rd, Connersville, IN 47331-1059 | 2007-02-08 |
| 1962543546 | Residential Crf, Inc. | Intermediate Care Facility, Mentally Retarded | 311 N Dorsett Dr, Connersville, IN 47331-9672 | 2007-02-08 |
| 1508907189 | Residential Crf, Inc. | Intermediate Care Facility, Mentally Retarded | 1887 S State Road 1, Connersville, IN 47331-8937 | 2007-02-08 |
| 1881735447 | Residential Crf, Inc. | Intermediate Care Facility, Mentally Retarded | 2375 W Us Highway 36, Danville, IN 46122-8764 | 2007-02-08 |
| 1780725325 | Residential Crf, Inc. | Intermediate Care Facility, Mentally Retarded | 2534 W State Road 44, Liberty, IN 47353-9116 | 2007-02-08 |
| 1831230416 | Residential Crf, Inc. | Intermediate Care Facility, Mentally Retarded | 2846 W State Road 44, Connersville, IN 47331-7814 | 2007-02-08 |
| Street Address |
6155 W 800 N |
| City | FOUNTAINTOWN |
| State | IN |
| Zip Code | 46130-9794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881088474 | Amanda Rode | Specialist/Technologist | 11063 N 100 W, Fountaintown, IN 46130-9516 | 2015-03-23 |
| 1053370916 | Hart Marketing | Durable Medical Equipment & Medical Supplies | 449 E Brookville Rd, Fountaintown, IN 46130-9526 | 2006-03-20 |
| 1952336489 | Hammons Mobile Homes Inc | Durable Medical Equipment & Medical Supplies | 385 E Brookville Rd, Fountaintown, IN 46130-9701 | 2006-07-12 |
| 1366499071 | Fountaintown Community Volunteer Fire Department Inc. | Ambulance | 141 E Brookville Rd, Fountaintown, IN 46130-9701 | 2006-05-28 |
| 1740437599 | Roxanne Dawn Stacy | Physical Therapy Assistant | 8945 N Timothy Ln, Fountaintown, IN 46130-9703 | 2008-08-23 |
| 1598389991 | Indiana Immunization Coalition | Public Health or Welfare | 9355 N 400 W, Fountaintown, IN 46130-9763 | 2020-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598389991 | Indiana Immunization Coalition | Public Health or Welfare | 9355 N 400 W, Fountaintown, IN 46130-9763 | 2020-06-01 |
| 1881088474 | Amanda Rode | Specialist/Technologist | 11063 N 100 W, Fountaintown, IN 46130-9516 | 2015-03-23 |
| 1740437599 | Roxanne Dawn Stacy | Physical Therapy Assistant | 8945 N Timothy Ln, Fountaintown, IN 46130-9703 | 2008-08-23 |
| 1952336489 | Hammons Mobile Homes Inc | Durable Medical Equipment & Medical Supplies | 385 E Brookville Rd, Fountaintown, IN 46130-9701 | 2006-07-12 |
| 1366499071 | Fountaintown Community Volunteer Fire Department Inc. | Ambulance | 141 E Brookville Rd, Fountaintown, IN 46130-9701 | 2006-05-28 |
| 1053370916 | Hart Marketing | Durable Medical Equipment & Medical Supplies | 449 E Brookville Rd, Fountaintown, IN 46130-9526 | 2006-03-20 |
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689051757 | The Arc of Northeast Indiana, Inc. | Intermediate Care Facility, Mentally Retarded | 4720 Ashland Dr, Fort Wayne, IN 46835-1510 | 2015-04-28 |
| 1710251830 | Rescare Inc. | Intermediate Care Facility, Mentally Retarded | 213 W. Water St., Centerville, IN 47330 | 2012-03-07 |
| 1871866368 | Rescare Inc. | Intermediate Care Facility, Mentally Retarded | 1010 Kellam Road, Centerville, IN 47330 | 2012-02-15 |
| 1215237672 | Pathfinder Services, Inc. | Intermediate Care Facility, Mentally Retarded | 2038 Camden Ct, Huntington, IN 46750-3993 | 2010-11-01 |
| 1396050076 | Pathfinder Services Inc | Intermediate Care Facility, Mentally Retarded | 2033 Duncan Dr, Huntington, IN 46750-4501 | 2010-08-18 |
| 1003052184 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 16609 Sima Gray Rd, Henryville, IN 47126-8626 | 2008-12-19 |
| 1912143009 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 16611 Sima Gray Rd, Henryville, IN 47126-8626 | 2008-12-19 |
| 1649416736 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 16613 Sima Gray Rd, Henryville, IN 47126-8626 | 2008-12-19 |
| 1528213360 | Res-care, Inc. | Intermediate Care Facility, Mentally Retarded | 1306 S Bloomington St, Greencastle, IN 46135-2208 | 2008-11-20 |
| 1316194863 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 4915 Haffner Drive, Fort Wayne, IN 46825-3535 | 2008-08-26 |
| Find all providers with the same taxonomy | ||||
| City | FOUNTAINTOWN |
| Zip Code | 46130 |
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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.