YWCA NORTH CENTRAL INDIANA (NPI# 1922438928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922438928 |
| Entity Type | Organization |
| Organization Name | YWCA NORTH CENTRAL INDIANA |
| Practice Address |
1102 Fellows St South Bend IN 46601-3514 |
| Practice Telephone | 5742339491 |
| Practice Fax Number | 5742339616 |
| Mailing Telephone | 5742339491 |
| Mailing Fax Number | 5742339616 |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |
| Authorized Official Name | MS. LINDA S BAECHLE (PRESIDENT) |
| Authorized Official Telephone | 5742339491 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811365604 | Ywca North Central Indiana | Community/Behavioral Health | 1102 Fellows St, South Bend, IN 46601-3514 | 2015-09-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | YWCA NORTH CENTRAL INDIANA, INC. | 1102 Fellows St, South Bend, IN 46601-3514 |
| Indiana Business Entities | YWCA NORTH CENTRAL INDIANA, INC. | 1102 S. Fellows St., South Bend, IN 46601 |
| Street Address |
1102 FELLOWS ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558629634 | Indiana Health Centers, Inc | Clinic/Center | 1102 Fellows St, South Bend, IN 46601-3514 | 2012-04-26 |
| 1295232825 | Jacqueline Werner | Counselor | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-04-10 |
| 1477059871 | Jodi L Brumbaugh | Counselor | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-04-04 |
| 1275039778 | Marilyn Marie Dodd | Case Manager/Care Coordinator | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-04-03 |
| 1861998775 | Schalisa Michelle Tate | Counselor | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-04-02 |
| 1821593989 | Keilah Ehrman | Counselor | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-03-29 |
| 1750886842 | Jordan Warth | Counselor | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-03-29 |
| 1811365604 | Ywca North Central Indiana | Community/Behavioral Health | 1102 Fellows St, South Bend, IN 46601-3514 | 2015-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912303736 | Choices Recovery | Substance Abuse Rehabilitation Facility | 3606 E Jefferson Blvd, South Bend, IN 46615-3052 | 2014-11-05 |
| 1437444692 | Life Treatment Centers | Substance Abuse Rehabilitation Facility | 1402 S Michigan St, South Bend, IN 46613-2214 | 2011-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
| 1992304836 | Oasis Recovery, LLC | Substance Abuse Rehabilitation Facility | 2155 N 100 E, Tipton, IN 46072-8490 | 2020-10-21 |
| 1699302356 | Evolve Indy LLC | Substance Abuse Rehabilitation Facility | 8770 Guion Rd Ste B, Indianapolis, IN 46268-3017 | 2020-03-24 |
| 1366082091 | Celtic Recovery, LLC | Substance Abuse Rehabilitation Facility | 5660 Madison Ave, Indianapolis, IN 46227-4671 | 2020-01-10 |
| 1508408378 | Allendale LLC | Substance Abuse Rehabilitation Facility | 5419 County Road 427, Auburn, IN 46706-9504 | 2019-10-14 |
| 1154979615 | Pax Riverbend LLC | Substance Abuse Rehabilitation Facility | 1403 Spring St Ste 1, Jeffersonville, IN 47130-3736 | 2019-08-28 |
| 1578121547 | Landmark Recovery of Carmel, LLC | Substance Abuse Rehabilitation Facility | 13594 N Meridian St, Carmel, IN 46032-1698 | 2019-06-04 |
| 1881157329 | Grace Recovery and Wellness LLC | Substance Abuse Rehabilitation Facility | 3320 Main St Ste D, Anderson, IN 46013-4267 | 2019-04-11 |
| 1679035232 | Summit Bhc Henryvillle | Substance Abuse Rehabilitation Facility | 2602 Hebron Church Rd, Henryville, IN 47126-9021 | 2019-04-03 |
| 1457819195 | The Breakaway Corp | Substance Abuse Rehabilitation Facility | 1514 E Spring St, New Albany, IN 47150-2844 | 2019-03-12 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on YWCA NORTH CENTRAL INDIANA.
| 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.