COMMUNITY ACTION PROGRAM, INC. OF WESTERN IN (NPI# 1083829394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083829394 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ACTION PROGRAM, INC. OF WESTERN IN |
| Practice Address |
22 W 2nd St Williamsport IN 47993-1118 |
| Mailing Address |
Po Box 188 Covington IN 47932-0188 |
| Practice Telephone | 7657620420 |
| Practice Fax Number | 7657622428 |
| Mailing Telephone | 7657934881 |
| Mailing Fax Number | 7657934884 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEVE PROCTOR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7657934881 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| X | 376J00000X | Homemaker | Nursing Service Related Providers |
| Street Address |
22 W 2ND ST |
| City | WILLIAMSPORT |
| State | IN |
| Zip Code | 47993-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568782613 | Anita Michelle Rice | Occupational Therapy Assistant | Waters of Williamsport, 200 Short St., Williamsport, IN 47993 | 2010-06-10 |
| 1053404541 | Msd of Warren County | Local Education Agency (LEA) | 101 N Monroe Street, Williamsport, IN 47993 | 2006-10-02 |
| 1518328236 | Alexis Smith | Specialist/Technologist | 23 Willow Ct, Williamsport, IN 47993 | 2016-03-08 |
| 1689872426 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 200 Short St, Williamsport, IN 47993 | 2007-07-03 |
| 1396772612 | Steven Fischer | Family Medicine | 1731 Ringer Lane, Williamsport, IN 47993 | 2006-06-26 |
| 1538195391 | William Ringer | Family Medicine | 1731 Ringer Lane, Williamsport, IN 47993 | 2006-06-24 |
| 1659366151 | Quality Life Care, LLC | Skilled Nursing Facility | 200 Short St, Williamsport, IN 47993-1031 | 2005-09-12 |
| 1194044644 | Kevin D. Smith | Occupational Therapy Assistant | 200 Short St, Williamsport, IN 47993-1031 | 2010-05-24 |
| 1578940417 | Lafayette Pain Care, P.C. | Durable Medical Equipment & Medical Supplies | 3728 South Reed Road, Williamsport, IN 47993-1049 | 2015-04-29 |
| 1831167931 | Richard Thompson Gripe | Orthopaedic Surgery | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-03-14 |
| Find all providers in zip 47993 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633029 | Kaneisha Burrus | Technician | 10853 Mistflower Way, Indianapolis, IN 46235-3563 | 2020-09-09 |
| 1679182976 | Barbara S Link | Technician | 5154 St Rd.60 1, Pekin, IN 47165 | 2020-07-23 |
| 1871117531 | Kierra Shanae Sherron | Technician | 11569 Short Iron Ln, Indianapolis, IN 46235-9101 | 2020-05-28 |
| 1659916260 | Virginia Kay St. John | Technician | 961 Deer Field Court, Greencastle, IN 46135 | 2019-11-07 |
| 1861033755 | Lisa G Sturm | Technician | 7420 Lauren Dr, Evansville, IN 47725-7377 | 2019-10-02 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1538710538 | Janet A Slaughter | Technician | 4022 Tanglewood Drive, Floyds Knobs, IN 47119 | 2019-09-23 |
| 1437709516 | Andrea Wiseman | Technician | 3616 N County Road 850 E, Otwell, IN 47564-8990 | 2019-09-19 |
| 1093365355 | Susan Hathaway | Technician | 3783 West 800 South, Portland, IN 47371 | 2019-09-18 |
| 1447800347 | Jennifer Owens | Technician | 1429 Durham Ct, Winona Lake, IN 46590 | 2019-09-13 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 47993 |
Please comment or provide details below to improve the information on COMMUNITY ACTION PROGRAM, INC. OF WESTERN IN.
| 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.