NORMAL LIFE OF INDIANA (NPI# 1023137502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023137502 |
| Entity Type | Organization |
| Organization Name | NORMAL LIFE OF INDIANA |
| Other Organization Name | TEHA NORTH PINE |
| Practice Address |
411 N Pine St Brazil IN 47834-1563 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 8124335057 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-07-11 |
| Authorized Official Name | DEENA OMBRES (PRIVACY OFFICER) |
| Authorized Official Telephone | 5023942387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100245580A | 05 |
| Other Name | Type Code |
|---|---|
| TEHA NORTH PINE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659790285 | Normal Life of Indiana | Day Training, Developmentally Disabled Services | 414 S Fares Ave, Evansville, IN 47714-1571 | 2014-04-10 |
| 1760647713 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 630 N 3rd St, Terre Haute, IN 47807-2643 | 2008-07-18 |
| 1376759282 | Normal Life of Indiana | Specialist | 201 N Baldwin Ave, Marion, IN 46952-3533 | 2007-05-15 |
| 1932228442 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 407 12th St, Huntingburg, IN 47542 | 2007-03-28 |
| 1023137536 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 420 Franklin, Troy, IN 47588 | 2007-03-28 |
| 1821117334 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 1454 S 7th St, Terre Haute, IN 47802-1234 | 2007-03-28 |
| 1558480046 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 2429 S 11th St, Terre Haute, IN 47802 | 2007-03-28 |
| 1457470908 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 3000 Bailey Ln, Evansville, IN 47720 | 2007-03-28 |
| 1689793127 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 428 Sterchi Dr, Evansville, IN 47711-7805 | 2007-03-28 |
| 1508985086 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 4475 N 17th St, Terre Haute, IN 47805-2417 | 2007-03-28 |
| Street Address |
411 N PINE ST |
| City | BRAZIL |
| State | IN |
| Zip Code | 47834-1563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149763 | Stephen P Ernest | Pharmacist | Kroger Pharmacy Store 248, 100 Forest Park Plaza, Brazil, IN 47834 | 2019-11-27 |
| 1891211330 | Melissa Ann Barker | Family Medicine | 115 Murphy Ave, Suite A, Brazil, IN 47834 | 2017-08-16 |
| 1528387412 | Internal Medicine Practice, LLC | Internal Medicine | 1011 E. National Ave, Brazil, IN 47834 | 2010-05-18 |
| 1770778102 | Fcp, Inc. | Clinic/Center | 11295 Ncr 300w, Brazil, IN 47834 | 2007-09-10 |
| 1760605505 | Erin Jenelle Graves | Speech-Language Pathologist | 1841 West County Road 500 North, Brazil, IN 47834 | 2007-04-10 |
| 1568581049 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 107 Villa Court #a, Brazil, IN 47834 | 2007-03-28 |
| 1255491130 | Raymond L Dennany IIi | Dentist | 21 N Washington St, Brazil, IN 47834 | 2006-12-11 |
| 1619054715 | Michael E Whitman | Chiropractor | 501 E Us Hwy 40, Brazil, IN 47834 | 2006-11-01 |
| 1275635534 | Nilah Nicole Bonham | Optometrist | 325 W National Avenue, Brazil, IN 47834 | 2006-09-05 |
| 1649387937 | John Jay Cash | Dentist | 924 South Forest Avenue, Brazil, IN 47834 | 2006-08-24 |
| Find all providers in zip 47834 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568581049 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 107 Villa Court #a, Brazil, IN 47834 | 2007-03-28 |
| 1285753756 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 1013 W White Tail Ct, Brazil, IN 47834-7894 | 2007-03-28 |
| 1962520627 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 605 W Craig Ave, Brazil, IN 47834-7403 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689051757 | The Arc of Northeast Indiana, Inc. | Intermediate Care Facility, Mentally Retarded | 4720 Ashland Dr, Fort Wayne, IN 46835-1510 | 2015-04-28 |
| 1710251830 | Rescare Inc. | Intermediate Care Facility, Mentally Retarded | 213 W. Water St., Centerville, IN 47330 | 2012-03-07 |
| 1871866368 | Rescare Inc. | Intermediate Care Facility, Mentally Retarded | 1010 Kellam Road, Centerville, IN 47330 | 2012-02-15 |
| 1215237672 | Pathfinder Services, Inc. | Intermediate Care Facility, Mentally Retarded | 2038 Camden Ct, Huntington, IN 46750-3993 | 2010-11-01 |
| 1396050076 | Pathfinder Services Inc | Intermediate Care Facility, Mentally Retarded | 2033 Duncan Dr, Huntington, IN 46750-4501 | 2010-08-18 |
| 1003052184 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 16609 Sima Gray Rd, Henryville, IN 47126-8626 | 2008-12-19 |
| 1912143009 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 16611 Sima Gray Rd, Henryville, IN 47126-8626 | 2008-12-19 |
| 1649416736 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 16613 Sima Gray Rd, Henryville, IN 47126-8626 | 2008-12-19 |
| 1528213360 | Res-care, Inc. | Intermediate Care Facility, Mentally Retarded | 1306 S Bloomington St, Greencastle, IN 46135-2208 | 2008-11-20 |
| 1316194863 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 4915 Haffner Drive, Fort Wayne, IN 46825-3535 | 2008-08-26 |
| 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.