INDIANA RE-ENTRY INTEGRATION (NPI# 1093331506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093331506 |
| Entity Type | Organization |
| Organization Name | INDIANA RE-ENTRY INTEGRATION |
| Practice Address |
358 W Tansey Xing Westfield IN 46074-9743 |
| Mailing Address |
8081 Lower Bay Ln Indianapolis IN 46236-9781 |
| Practice Telephone | 3172631675 |
| Mailing Telephone | 3173743745 |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2020-06-20 |
| Authorized Official Name | MICHAEL D JAMES (CEO) |
| Authorized Official Telephone | 3172631675 |
| Authorized Official Credential | LCAC, MATS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Indiana Re-Entry Integration Services | Doing Business As Name - Organization |
| Street Address |
358 W TANSEY XING |
| City | WESTFIELD |
| State | IN |
| Zip Code | 46074-9743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477191088 | Jessica Lynn Kutz | Specialist/Technologist | 19000 E 191st Street, Suite K, Westfield, IN 46074 | 2019-12-13 |
| 1851805774 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 1447 South Waterleaf Dr, Westfield, IN 46074 | 2017-11-30 |
| 1760939946 | Accelerated Rehabilitation Centers, Ltd. | Physical Therapist | 956 Tournament Trail, Westfield, IN 46074 | 2016-09-06 |
| 1285188805 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 16088 Spring Mill Station Dr, Westfield, IN 46074 | 2016-08-11 |
| 1740608157 | Kumar Mokkala | Physical Therapist | 14902 Shelborne Road, Westfield, IN 46074 | 2014-04-02 |
| 1649608886 | Carol Hooe Hughes | Counselor | 14126 Secretariat Ct, Carmel, IN 46074 | 2013-10-25 |
| 1043657166 | Krause Dental | Clinic/Center | 3247 East Sr32, Westfield, IN 46074 | 2013-05-30 |
| 1841539517 | Ruby Christina Burris | Marriage & Family Therapist | 120 Camilla Court, Suite D, Westfield, IN 46074 | 2013-01-31 |
| 1720355704 | Drew Jacobson | Physical Therapy Assistant | 16620 Lakeville Crossing, Westfield, IN 46074 | 2011-11-19 |
| 1841491271 | Glenda Janine Huffman | Physical Therapist | 614 Apollo Pky, Westfield, IN 46074 | 2007-05-31 |
| Find all providers in zip 46074 | ||||
| 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 |
|---|---|---|---|---|
| 1407220791 | Summit Bhc Westfield, LLC | Substance Abuse Rehabilitation Facility | 355 Church St, Westfield, PA 16950-1523 | 2015-11-24 |
| 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 | ||||
Please comment or provide details below to improve the information on INDIANA RE-ENTRY INTEGRATION.
| 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.