ORIGINAL HOUSING PROGRAM


Address: 3539 N College Ave # 1, Indianapolis, IN 46205-3755
Phone: 3172580302

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 3539 N COLLEGE AVE # 1
City INDIANAPOLIS
State IN
Zip Code 46205-3755

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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1659755544 Bethlehem House Residence Clinic/Center 130 E 30th St, Indianapolis, IN 46205-3904 2015-07-10

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NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City INDIANAPOLIS
Zip Code 46205

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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