BLUE RIVER SERVICES, INC. (NPI# 1184747313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184747313 |
| Entity Type | Organization |
| Organization Name | BLUE RIVER SERVICES, INC. |
| Practice Address |
5771 E. Speed Rd Milltown IN 47145 |
| Mailing Address |
Po Box 547 Corydon IN 47112-0547 |
| Practice Telephone | 8123652451 |
| Mailing Telephone | 8127382408 |
| Mailing Fax Number | 8127386281 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2013-05-03 |
| Authorized Official Name | DANIEL J LOWE (PRESIDENT CEO) |
| Authorized Official Telephone | 8127382408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | IN | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100385530 A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134753403 | Blue River Services, Inc. | Counselor | 14495 Huff St Ne, Palmyra, IN 47164-8876 | 2020-02-26 |
| 1205130267 | Blue River Services, Inc. | Speech-Language Pathologist | 1365 N Old Highway 135, Corydon, IN 47112-2007 | 2011-01-06 |
| 1902029259 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 281 Mcgrain St., Corydon, IN 47112 | 2007-04-11 |
| 1497978746 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 293 Summit View Dr, Corydon, IN 47112-2131 | 2007-04-11 |
| 1598988834 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 N. Nichols Ave., Salem, IN 47167 | 2007-04-11 |
| 1740303973 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 75 E. Oak Dr, Salem, IN 47167 | 2007-04-10 |
| 1336262567 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1365 Marvy Ln, Palmyra, IN 47164 | 2007-04-10 |
| 1427171651 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3607 Klerner Ln, New Albany, IN 47150 | 2007-04-10 |
| 1750404992 | Blue River Services, Inc. | Community/Behavioral Health | 1365 Old Hwy 135 Nw, Corydon, IN 47112-0547 | 2007-04-10 |
| Street Address |
5771 E. SPEED RD |
| City | MILLTOWN |
| State | IN |
| Zip Code | 47145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336788744 | Julie Lamotte | Registered Nurse | 2909 N State Road 66, Milltown, IN 47145-7400 | 2020-01-02 |
| 1972533073 | Gail E Schotter | Physician Assistant | 4125 S Wyandotte Cave Rd, Milltown, IN 47145-7539 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148666 | Rachel Forni | Occupational Therapy Assistant | 78 Cleveland Ave, Milltown, NJ 08850-1134 | 2019-11-17 |
| 1073165403 | Quick Mart Pharmacy & Convenience LLC | Pharmacy | 100 Ryders Ln Ste 5, Milltown, NJ 08850-1263 | 2019-07-16 |
| 1013485341 | New Outlook Therapeutic Services LLC | Community/Behavioral Health | 75 Kuhlthau Ave, Milltown, NJ 08850-1831 | 2018-11-05 |
| 1184191355 | Rajini Duvoor | Registered Nurse | 87 Connolly Dr, Milltown, NJ 08850-2103 | 2018-10-25 |
| 1619463437 | Platinum Hearts A Nj Nonprofit Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 808 Prospect Ave, Milltown, NJ 08850-2019 | 2018-07-04 |
| 1871092395 | Stephanie Lynn Harris Kuiper | Counselor | 4 Graulich Dr, Milltown, NJ 08850-1100 | 2018-02-10 |
| 1700396272 | Kiara Physical Therapy LLC | Clinic/Center | 246 Ryders Ln, Milltown, NJ 08850 | 2017-10-10 |
| 1699229872 | Eileen Mcpartlan | Nurse Practitioner | 10 Baier Ave, Milltown, NJ 08850-1402 | 2016-08-05 |
| 1528458643 | Monica Azer | Student in an Organized Health Care Education/Training Program | 141 S Moetz Dr, Milltown, NJ 08850-1346 | 2015-01-27 |
| 1386051720 | Cindy Korkowski | Case Manager/Care Coordinator | 207 Jaden Dr, Milltown, WI 54858-9075 | 2014-07-17 |
| Find all providers in MILLTOWN | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619463437 | Platinum Hearts A Nj Nonprofit Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 808 Prospect Ave, Milltown, NJ 08850-2019 | 2018-07-04 |
| 1871019489 | The Arc Middlesex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 217 S Main St, Milltown, NJ 08850-1822 | 2017-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749910 | Aspire Residential Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11216 Harrington Ln, Fishers, IN 46038-3208 | 2020-10-31 |
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1619528700 | A Totality of Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4302 Parrish Ave, East Chicago, IN 46312-3031 | 2019-09-20 |
| 1750851192 | Stimuli Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6670 Kinnerton Dr, Indianapolis, IN 46254-5843 | 2018-11-28 |
| 1659847168 | Assured Residential and Consulting, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5555 N Tacoma Ave Ste 101, Indianapolis, IN 46220-3551 | 2018-10-23 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477063923 | Gray Residential Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9660 Commerce Dr, Carmel, IN 46032-7641 | 2017-10-10 |
| 1700248564 | A.i.d. Residential Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10319 Dawsons Creek Blvd Ste E, Fort Wayne, IN 46825-1911 | 2016-03-22 |
| 1518338664 | First Steps | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 57358 Sequoia Dr, Goshen, IN 46528-8829 | 2015-10-15 |
| 1497144042 | Jennifer Whitlow | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6710 Waverhill Dr, Indianapolis, IN 46217-9101 | 2015-01-21 |
| Find all providers with the same taxonomy | ||||
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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.