GIBSON COUNTY AREA REHABILITATION CENTERS INC (NPI# 1861606725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861606725 |
| Entity Type | Organization |
| Organization Name | GIBSON COUNTY AREA REHABILITATION CENTERS INC |
| Practice Address |
1015 S Stout St Princeton IN 47670-2742 |
| Mailing Address |
Po Box 5 Princeton IN 47670-0005 |
| Practice Telephone | 8123861042 |
| Practice Fax Number | 8123867325 |
| Mailing Telephone | 8123866312 |
| Mailing Fax Number | 8123858778 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DANIEL J COCKRUM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8123866312 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952515819 | Gibson County Area Rehabilitation Centers Inc | Day Training, Developmentally Disabled Services | Hwy. 64 West, Princeton, IN 47670-0005 | 2007-05-10 |
| 1437362738 | Gibson County Area Rehabilitation Centers Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 218 S Prince St, Princeton, IN 47670-2116 | 2007-05-07 |
| 1770790834 | Gibson County Area Rehabilitation Centers Inc | Day Training, Developmentally Disabled Services | Hwy. 64 West, Princeon, IN 47670 | 2007-05-17 |
| 1659585529 | Gibson County Area Rehabilitation Centers Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 8th St, Princeton, IN 47670-1110 | 2007-05-10 |
| Street Address |
1015 S STOUT ST |
| City | PRINCETON |
| State | IN |
| Zip Code | 47670-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102384 | Chad Holzmeyer | Pharmacist | 101 W Brumfield Ave., Princeton, IN 47670 | 2020-07-30 |
| 1497383046 | Jessy Roy Emmett | Hearing Instrument Specialist | 205 West State Street, Suite 1, Princeton, IN 47670 | 2020-03-30 |
| 1033643010 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 1416 W. Broadway St, Princeton, IN 47670 | 2017-04-17 |
| 1558782383 | Jon O'keefe | Marriage & Family Therapist | 304 North 5th Avenue, Princeton, IN 47670 | 2013-12-20 |
| 1376828616 | Andrea Catherine Kohlmeyer | Dietitian, Registered | 2340 E 350 S, Princeton, IN 47670 | 2011-10-19 |
| 1710192802 | Sarah Ellen Anderson | Pharmacy Technician | 2005 W Broadway, Princeton, IN 47670 | 2007-05-11 |
| 1760602296 | Buehlers Buy Low Pharmacy | Pharmacy Technician | 2005 W. Broadway, Princeton, IN 47670 | 2007-04-26 |
| 1114066511 | Jon Robb | Pharmacist | 4924 S Maple Tree Drive, Princeton, IN 47670 | 2007-02-05 |
| 1558464172 | M S Krishna | Pediatrics | 312 North 3rd Ave, Princeton, IN 47670 | 2006-09-07 |
| 1255353967 | Gibson County Auditor | Ambulance | 225 N Hart Street, Princeton, IN 47670 | 2006-07-24 |
| Find all providers in zip 47670 | ||||
| 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 |
|---|---|---|---|---|
| 1326513227 | Rodeck II Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25940 Sw 132nd Pl, Princeton, FL 33032-6886 | 2018-10-06 |
| 1396274213 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 309a Stanworth Ln, Princeton, NJ 08540-3727 | 2017-06-05 |
| 1932640844 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2308 Albert Way, Building 201, Princeton, NJ 08540 | 2017-03-10 |
| 1427433713 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6315 Windridge Court, Princeton, NJ 08540 | 2015-07-28 |
| 1437362738 | Gibson County Area Rehabilitation Centers Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 218 S Prince St, Princeton, IN 47670-2116 | 2007-05-07 |
| 1033591003 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2 Merwick Rd, Princeton, NJ 08540-5730 | 2015-06-25 |
| 1659585529 | Gibson County Area Rehabilitation Centers Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 8th St, Princeton, IN 47670-1110 | 2007-05-10 |
| 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 | ||||
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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.