ORIGINAL HOUSING PROGRAM (NPI# 1659928794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659928794 |
Entity Type | Organization |
Organization Name | ORIGINAL HOUSING PROGRAM |
Practice Address |
3539 N College Ave # 1 Indianapolis IN 46205-3755 |
Mailing Address |
3902 N College Ave Indianapolis IN 46205-2735 |
Practice Telephone | 3172580302 |
Mailing Telephone | 3172580302 |
Enumeration Date | 2019-08-22 |
Last Update Date | 2019-08-22 |
Authorized Official Name | LATOYA VINETTIE BEVERLY (NON CLINICAL) |
Authorized Official Telephone | 3175595802 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Street Address |
3539 N COLLEGE AVE # 1 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46205-3755 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003383233 | Bombeauty Supply and Salon | Durable Medical Equipment & Medical Supplies | 3010 Lake Shore Dr Unit A, Indianapolis, IN 46205 | 2018-10-25 |
1376034165 | Sade Trenise Evans | Behavior Technician | 4740 Kingsway Drive, Indianapolis, IN 46205 | 2018-05-29 |
1972057354 | Danielle Mandigo | Social Worker | 4068 Winthrop Ave, Indianapolis, IN 46205 | 2016-08-15 |
1386032613 | Hear Indiana Inc | Speech-Language Pathologist | 4740 Kingsway Dr., Suite 33, Indianapolis, IN 46205 | 2015-01-09 |
1114237336 | Greenhouse and Associates Inc. | Psychologist | 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 | 2010-10-21 |
1265686638 | Crown Medical Transportation | Non-emergency Medical Transport (VAN) | 4637 Round Lake Rd Ste G, Indianapolis, IN 46205 | 2008-11-11 |
1003075912 | Monica Silvia Oclander | Nurse Practitioner | Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 | 2008-06-05 |
1881895647 | Amber Casto | Counselor | 2626 East 46th Street, Suite J, Indianapolis, IN 46205 | 2007-05-30 |
1952502098 | Challenge Foundation Academy | Contractor | 3980 Meadows Dr., Indianapolis, IN 46205 | 2007-05-29 |
1588871909 | Korinne Fox | Social Worker | 3675 N, Washington Blvd., Indianapolis, IN 46205 | 2007-05-16 |
Find all providers in zip 46205 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497862098 | Pathway Family Center | Clinic/Center | 6405 Castleway Ct., Ste. 102, Indianapolis, IN 46250 | 2006-08-23 |
1215484381 | Cornerstone of Indianapolis, LLC | Clinic/Center | 5610 Crawfordsville Road, Suite 1700, Indianapolis, IN 46224 | 2016-09-07 |
1700241528 | Brothers United, Inc. | Clinic/Center | 3737 N Meridian St, Suite 401, Indianapolis, IN 46208-4347 | 2015-12-21 |
1659755544 | Bethlehem House Residence | Clinic/Center | 130 E 30th St, Indianapolis, IN 46205-3904 | 2015-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285265470 | Our Place Drug and Alcohol Education Services, Inc. | Clinic/Center | 400 E Spring St, New Albany, IN 47150-2920 | 2020-01-28 |
1083250542 | Avenues Recovery Center of Fort Wayne, LLC | Clinic/Center | 2626 Fairfield Ave, Fort Wayne, IN 46807-1215 | 2019-11-20 |
1518447309 | Wellpoint Recovery LLC | Clinic/Center | 3930 Mezzanine Dr Ste B, Lafayette, IN 47905-8646 | 2018-08-21 |
1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
1811483308 | Indiana Recovery Centers LLC | Clinic/Center | 1130 W Jefferson St Ste B, Franklin, IN 46131-2760 | 2018-07-08 |
1992221949 | The Happiness Project, LLC | Clinic/Center | 8412 Leesburg Rd, Fort Wayne, IN 46818-9125 | 2017-08-21 |
1457897647 | Pinnacletreatment Centers In-1, LLC | Clinic/Center | 2060 North State Rd 1, Cambridge City, IN 47327 | 2017-01-11 |
1326494758 | Pinnacle Treatment Centers In-1, LLC D/b/a Recovery Works Merrillville | Clinic/Center | 201 W 89th Ave, Merrillville, IN 46410-6283 | 2016-05-04 |
1568834992 | Parkdale Center LLC | Clinic/Center | 350 Indian Boundary Rd, Chesterton, IN 46304-1511 | 2015-10-26 |
1194108969 | A New Day Treatment Services Inc | Clinic/Center | 2731 Albright Rd, Kokomo, IN 46902-3996 | 2015-06-29 |
Find all providers with the same taxonomy |
City | INDIANAPOLIS |
Zip Code | 46205 |
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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.