AMHEALTH (EVANSVILLE), INC. (NPI# 1104965755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104965755 |
Entity Type | Organization |
Organization Name | AMHEALTH (EVANSVILLE), INC. |
Other Organization Name | RIVERWALK COMMUNITIES |
Practice Address |
101 Se 1st St Evansville IN 47708-1406 |
Practice Telephone | 8124251041 |
Practice Fax Number | 8124254054 |
Mailing Telephone | 8124251041 |
Mailing Fax Number | 8124254054 |
Enumeration Date | 2007-02-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. KATIE LEE GOLDSBERRY (CONTROLLER) |
Authorized Official Telephone | 8124251041 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
IN | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | RBA | 2318 | 01 |
Other Name | Type Code |
---|---|
Riverwalk Communities | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | AMHEALTH (EVANSVILLE), INC. | 401 S.e. 6th Street, Evansville, IN 47713 |
Street Address |
101 SE 1ST ST |
City | EVANSVILLE |
State | IN |
Zip Code | 47708-1406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558870550 | Evansville In Homecare, LLC | In Home Supportive Care | 123 Nw 4th St Ste 312, Evansville, IN 47708 | 2017-09-22 |
1881094290 | Quad Med LLC | Clinic/Center | 1 Nw Mlk Jr Blvd, Rm 106, Evansville, IN 47708 | 2014-09-04 |
1598051948 | Kyle Wesley King | Optometrist | 213 Main St, Evansville, IN 47708 | 2011-06-23 |
1306902879 | Roger Marin Haywood | Optometrist | 213 Main St, Evansville, IN 47708 | 2006-12-29 |
1528124096 | Kimberly Anne Haywood Pfender | Optometrist | 213 Main St, Evansville, IN 47708 | 2006-12-29 |
1902857014 | Stratmans Pharmacy Inc | Pharmacy | 407 Main St, Evansville, IN 47708 | 2006-05-13 |
1508994153 | Sycamore Rehabilitation Services-hcarc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 W Lloyd Expy, Evansville, IN 47708-1146 | 2007-03-02 |
1669721726 | Klipsch Senior Care LLC | In Home Supportive Care | 223 Nw 2nd St, Suite 310, Evansville, IN 47708-1207 | 2012-09-05 |
1083166359 | Terre Haute Senior Care, LLC | In Home Supportive Care | 223 Nw 2nd St, Suite 310, Evansville, IN 47708-1207 | 2016-11-02 |
1760037642 | Andrea Crabtree | Behavioral Analyst | 101 Nw 1st St Ste 118, Evansville, IN 47708-1259 | 2019-08-07 |
Find all providers in zip 47708 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093315095 | Shana P Graham | Custodial Care Facility | 8308 E 11th St, Indianapolis, IN 46219-4003 | 2020-10-28 |
1730650169 | Benson Ngarambe | Custodial Care Facility | 719 Roland Ct, South Bend, IN 46601-3461 | 2018-12-11 |
1629513700 | Violet Johnson | Custodial Care Facility | 3213 N Riley Ave, Indianapolis, IN 46218-2350 | 2016-12-28 |
1477931764 | Grace Adult Family Care LLC | Custodial Care Facility | 2947 N Colorado Ave, Indianapolis, IN 46218-3116 | 2015-05-07 |
1164852505 | R&l Supportive Living Corp. | Custodial Care Facility | 3754 Jackson St, Gary, IN 46408-2226 | 2013-11-21 |
1932546959 | National Mentor Healtcare LLC | Custodial Care Facility | 6323 Tennessee Ave, Hammond, IN 46323-1934 | 2013-05-31 |
1598005423 | National Mentor Healthcare LLC | Custodial Care Facility | 6032 W 7th Ave, Gary, IN 46406-1314 | 2013-03-01 |
1497095327 | National Mentor Healthcare, LLC | Custodial Care Facility | 57155 White Pine Trl, South Bend, IN 46619-5584 | 2013-03-01 |
1821358342 | National Mentor Healthcare, LLC | Custodial Care Facility | 1726 N 100 W, Hartford City, IN 47348-9550 | 2012-05-17 |
1669732186 | National Mentor Healthcare, LLC | Custodial Care Facility | 2326 Flint Ct, Dyer, IN 46311-1913 | 2012-05-17 |
Find all providers with the same taxonomy |
City | EVANSVILLE |
Zip Code | 47708 |
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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.