CHOSEN CAPITOL VILLAGE LLC (NPI# 1164064242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164064242 |
Entity Type | Organization |
Organization Name | CHOSEN CAPITOL VILLAGE LLC |
Practice Address |
2926 N Capitol Ave Indianapolis IN 46208-5131 |
Mailing Address |
Po Box 191310 Saint Louis MO 63119-7310 |
Practice Telephone | 3179260254 |
Enumeration Date | 2019-10-10 |
Last Update Date | 2019-10-10 |
Authorized Official Name | HOWARD BROMBERG (CEO) |
Authorized Official Telephone | 3174345375 |
Is Organization Subpart | Y |
Parent Organization Name | HICKORY HOUSE RECOVERY LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Hickory Treatment Center at Indianapolis | Doing Business As Name - Organization |
Street Address |
2926 N CAPITOL AVE |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46208-5131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245311810 | Best American Health Care, Inc. | Skilled Nursing Facility | 2926 N Capitol Ave, Indianapolis, IN 46208-5131 | 2006-10-18 |
1548339245 | Highland Manor Healthcare | Skilled Nursing Facility | 2926 N Capitol Ave, Indianapolis, IN 46208-5131 | 2006-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033650924 | Kristine M Sullivan | Dietitian, Registered | 2700 Doctor M.l.k. Jr St., Indianapolis, IN 46208 | 2017-03-13 |
1760877591 | Michael A. Davis, D.d.s. Family Dental LLC | Dentist | 3737 N. Meridian Ste. 410, Indianapolis, IN 46208 | 2015-03-30 |
1831432574 | Curtis Stennett | Psychiatry & Neurology | 563 W Westfield Blvd, Indianapolis, IN 46208 | 2013-04-01 |
1417206392 | Planned Parenthood of Indiana Midtown | Clinic/Center | 3750 N. Meridian St., Suite 100, Indianapolis, IN 46208 | 2012-09-06 |
1629216932 | Mary Carol Calloway Follman | Occupational Therapist | 5502 N. Kenwood Ave., Indianapolis, IN 46208 | 2009-01-23 |
1871760751 | Jacob Odell Roberts | Chiropractor | 2413 N Meridian St, Indianapolis, IN 46208 | 2008-05-10 |
1285846360 | Midwest Residential Services, Inc. | Preferred Provider Organization | 2425 N. Meridian Street, Suite B, Indianapolis, IN 46208 | 2007-05-03 |
1881814879 | Cheryl Ann Moore | Social Worker | 3171 N. Meridian Street, Indianapolis, IN 46208 | 2007-05-01 |
1679612881 | Kenneth Ackles Sr. | Chiropractor | 3231 North Meridian Street, Suite 502, Indianapolis, IN 46208 | 2007-02-05 |
1013062918 | William D. Alexy | Psychologist | 6110 N. Meridian, W.dr, Indianapolis, IN 46208 | 2007-01-24 |
Find all providers in zip 46208 |
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 |
---|---|---|---|---|
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 |
1265915805 | Truth Treatment Center | Substance Abuse Rehabilitation Facility | 7150 Madison Ave, Indianapolis, IN 46227-5269 | 2018-09-10 |
1659851905 | The Salvation Army, An Illinois Corporation | Substance Abuse Rehabilitation Facility | 2400 N Tibbs Ave, Indianapolis, IN 46222-2458 | 2018-08-16 |
1629675012 | 8530 Township Line Road Opco LLC | Substance Abuse Rehabilitation Facility | 8530 Township Line Rd, Indianapolis, IN 46260-1927 | 2020-10-08 |
1710511068 | Landmark Recovery of Carmel, LLC | Substance Abuse Rehabilitation Facility | 6330 Digital Way, Indianapolis, IN 46278-1667 | 2020-02-26 |
1518507011 | Landmark Recovery of Indianapolis LLC | Substance Abuse Rehabilitation Facility | 6330 Digital Way, Indianapolis, IN 46278-1667 | 2020-01-13 |
1659913739 | Chosen Lawrence Manor LLC | Substance Abuse Rehabilitation Facility | 8935 E 46th St, Indianapolis, IN 46226-4125 | 2019-10-10 |
1700432341 | Newday Center | Substance Abuse Rehabilitation Facility | 6330 Digital Way, Indianapolis, IN 46278-1667 | 2019-08-09 |
1811463060 | 8935 East 46th Street LLC | Substance Abuse Rehabilitation Facility | 8935 E 46th St, Indianapolis, IN 46226-4125 | 2018-10-15 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46208 |
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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.