NORMAL LIFE OF INDIANA (NPI# 1093834566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093834566 |
| Entity Type | Organization |
| Organization Name | NORMAL LIFE OF INDIANA |
| Other Organization Name | TEHA KINGSWOOD |
| Practice Address |
7469 S Kingswood St Terre Haute IN 47802-9328 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 8122351089 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-07-14 |
| 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 | 100235260A | 05 |
| Other Name | Type Code |
|---|---|
| TEHA KINGSWOOD | 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 |
| 1023137502 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 411 N Pine St, Brazil, IN 47834-1563 | 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 |
| Street Address |
7469 S KINGSWOOD ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802-9328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| Find all providers in zip 47802 | ||||
| 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 |
|---|---|---|---|---|
| 1760647713 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 630 N 3rd St, Terre Haute, IN 47807-2643 | 2008-07-18 |
| 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 |
| 1508985086 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 4475 N 17th St, Terre Haute, IN 47805-2417 | 2007-03-28 |
| 1417076993 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 908 E Marley Dr, Terre Haute, IN 47802-4369 | 2007-03-28 |
| 1114046695 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 921 Hampton Ave, Terre Haute, IN 47803-2855 | 2007-03-28 |
| 1649399130 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 1970 E 45th Court, Terre Haute, IN 47802 | 2007-03-28 |
| 1619096195 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 2140 Washington Ave, Terre Haute, IN 47803-3667 | 2007-03-28 |
| 1376661033 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 2304 Cruft St, Terre Haute, IN 47803-2949 | 2007-03-27 |
| 1053439752 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 2840 N 6th St, Terre Haute, IN 47804-1072 | 2007-03-27 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47802 |
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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.