ARCHER CONSULTATION SERVICES, INC. (NPI# 1568501294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568501294 |
Entity Type | Organization |
Organization Name | ARCHER CONSULTATION SERVICES, INC. |
Other Organization Name | ARCHER, INC. |
Practice Address |
226 5th St North Vernon IN 47265-1204 |
Practice Telephone | 8003467760 |
Practice Fax Number | 8663466067 |
Mailing Telephone | 8003467760 |
Mailing Fax Number | 8663466067 |
Enumeration Date | 2007-02-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. THOMAS HOLT (CEO) |
Authorized Official Telephone | 7659938823 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
X | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Archer, Inc. | Other Name - Individual/Organization |
Street Address |
226 5TH ST |
City | NORTH VERNON |
State | IN |
Zip Code | 47265-1204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306492723 | Lariann Rumph | Pharmacist | 14 North State Street, North Vernon, IN 47265 | 2019-08-12 |
1649798307 | Activate Healthcare - Nvic Clinic | Clinic/Center | 3750 4th Street, North Vernon, IN 47265 | 2017-09-01 |
1104372333 | Wecare Tlc - Jcsc Health and Wellness Center | Clinic/Center | 1800 Commercial Dr, North Vernon, IN 47265 | 2016-08-28 |
1053715987 | Erika Duran | Pharmacist | 9 N State Street, North Vernon, IN 47265 | 2014-10-21 |
1053720946 | Melissa R Hunter Lmhc LLC | Counselor | 753 North State Street, Suite A, North Vernon, IN 47265 | 2014-08-05 |
1962731075 | North Vernon Fire Department | Ambulance | 2000 North Madison Ave, North Vernon, IN 47265 | 2009-12-18 |
1063544989 | Quinco Consulting Center Inc | Clinic/Center | 299 W Hayden Pike, North Vernon, IN 47265 | 2007-03-09 |
1972635894 | Quinco Consulting Center Inc | Clinic/Center | 601 N Henry Street, North Vernon, IN 47265 | 2007-03-09 |
1659406528 | Jennings County Auditor | Ambulance | 925 South State Street, North Vernon, IN 47265 | 2007-02-22 |
1780729822 | Southern Indiana Orthopedics | Durable Medical Equipment & Medical Supplies | 1810 North Commercial Drive, North Vernon, IN 47265 | 2007-02-20 |
Find all providers in zip 47265 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093315095 | Shana P Graham | Custodial Care Facility | 8308 E 11th St, Indianapolis, IN 46219-4003 | 2020-10-28 |
1730650169 | Benson Ngarambe | Custodial Care Facility | 719 Roland Ct, South Bend, IN 46601-3461 | 2018-12-11 |
1629513700 | Violet Johnson | Custodial Care Facility | 3213 N Riley Ave, Indianapolis, IN 46218-2350 | 2016-12-28 |
1477931764 | Grace Adult Family Care LLC | Custodial Care Facility | 2947 N Colorado Ave, Indianapolis, IN 46218-3116 | 2015-05-07 |
1164852505 | R&l Supportive Living Corp. | Custodial Care Facility | 3754 Jackson St, Gary, IN 46408-2226 | 2013-11-21 |
1932546959 | National Mentor Healtcare LLC | Custodial Care Facility | 6323 Tennessee Ave, Hammond, IN 46323-1934 | 2013-05-31 |
1598005423 | National Mentor Healthcare LLC | Custodial Care Facility | 6032 W 7th Ave, Gary, IN 46406-1314 | 2013-03-01 |
1497095327 | National Mentor Healthcare, LLC | Custodial Care Facility | 57155 White Pine Trl, South Bend, IN 46619-5584 | 2013-03-01 |
1821358342 | National Mentor Healthcare, LLC | Custodial Care Facility | 1726 N 100 W, Hartford City, IN 47348-9550 | 2012-05-17 |
1669732186 | National Mentor Healthcare, LLC | Custodial Care Facility | 2326 Flint Ct, Dyer, IN 46311-1913 | 2012-05-17 |
Find all providers with the same taxonomy |
City | NORTH VERNON |
Zip Code | 47265 |
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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.