NORMAL LIFE OF INDIANA (NPI# 1275652729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275652729 |
| Entity Type | Organization |
| Organization Name | NORMAL LIFE OF INDIANA |
| Other Organization Name | EVANS RIVERSIDE |
| Practice Address |
3913 E Riverside Dr Evansville IN 47714-6446 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 8124333535 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-07-31 |
| 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 | 100235170A | 05 |
| Other Name | Type Code |
|---|---|
| EVANS RIVERSIDE | 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 |
3913 E RIVERSIDE DR |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47714-6446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
| 1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
| 1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
| 1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
| 1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
| 1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
| Find all providers in zip 47714 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1487773933 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 3110 Marion Ave, Evansville, IN 47712-4942 | 2007-03-28 |
| 1992824445 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 600 Pfeiffer Rd, Evansville, IN 47711-3154 | 2007-03-28 |
| 1366561813 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 1144 Sheffield Dr, Evansville, IN 47710-3818 | 2007-03-28 |
| 1114046653 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 1650 S Linwood Ave, Evansville, IN 47713-2856 | 2007-03-28 |
| 1184743635 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 935 E Olmstead Ave, Evansville, IN 47711-6242 | 2007-03-28 |
| 1174641997 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 202 Adams Ave, Evansville, IN 47713-1536 | 2007-03-27 |
| 1548388440 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 510 Lewis Ave, Evansville, IN 47714-1514 | 2007-03-27 |
| 1699893586 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 1122 Marshall Ave, Evansville, IN 47714-2815 | 2007-03-27 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47714 |
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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.