ON TARGET HEALTH LLC (NPI# 1871138487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871138487 |
| Entity Type | Organization |
| Organization Name | ON TARGET HEALTH LLC |
| Practice Address |
3960 Southeastern Ave Indianapolis IN 46203-1500 |
| Mailing Address |
5868 E 71st St Ste E-302 Indianapolis IN 46220-5864 |
| Practice Telephone | 8446662373 |
| Mailing Telephone | 8446662373 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | MRS. BETH THOMPSON (PRESIDENT & CEO) |
| Authorized Official Telephone | 8446662373 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | Other Service Providers |
| Street Address |
3960 SOUTHEASTERN AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46203-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194362665 | Yvonne Irene Wince | Pharmacist | 608 Twin Aire Dr, Indianapolis, IN 46203 | 2019-12-04 |
| 1730635681 | Kensie Waller | Registered Nurse | 3834 S. Emerson Ave, Bldg C, Ste 100, Indianapolis, IN 46203 | 2016-08-31 |
| 1629285820 | 21st Century Charter School At Fountain Square | Local Education Agency (LEA) | 1615 South Barth Ave, Indianapolis, IN 46203 | 2007-05-17 |
| 1912124918 | Richard Walter James | Chiropractor | 3850 S Emerson, Suite F, Indianapolis, IN 46203 | 2007-04-19 |
| 1245386655 | Gary Richard Billingsley | Chiropractor | 4940 S Emerson Ave, Indianapolis, IN 46203 | 2007-01-26 |
| 1952452815 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2630 S Keystone Ave, Indianapolis, IN 46203 | 2007-01-16 |
| 1245324755 | Rtc Resource Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 1404 South State Avenue, Indianapolis, IN 46203 | 2006-10-02 |
| 1548776925 | Erin Tofani | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2017-12-20 |
| 1114464575 | Abigail G Boris | Registered Nurse | 3834 S Emerson Ave, Bldg C Ste 100, Indianapolis, IN 46203 | 2017-01-24 |
| 1285184481 | Kelli Joy Bovenkerk | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2016-10-12 |
| Find all providers in zip 46203 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952833022 | Stephanie Bell | Prevention Professional | 2804 55th Pl, Suite C, Indianapolis, IN 46220-3585 | 2017-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457906067 | Jennifer L Rubalcada | Prevention Professional | 1101 W Oakdale Dr, Fort Wayne, IN 46807-1747 | 2019-08-09 |
| 1932648839 | Greta Slabach | Prevention Professional | 205 Southern Cross Dr, Middlebury, IN 46540 | 2017-02-13 |
| 1417492281 | Carlos Bastardo | Prevention Professional | 11191 Shadylane Dr, Plymouth, IN 46563-8623 | 2017-01-03 |
| 1710547492 | Kylie Elizabeth Martindale | Prevention Professional | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2019-06-16 |
| 1649705823 | Nathan Reep | Prevention Professional | 4201 S Washington St, Marion, IN 46953-4974 | 2017-04-26 |
| 1134667900 | Ethan James | Prevention Professional | 515 Read St, Evansville, IN 47710-1739 | 2017-02-01 |
| City | INDIANAPOLIS |
| Zip Code | 46203 |
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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.