WELLSTONE REGIONAL HOSPITAL LLC


Address: 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989
Phone: 8122848000

WELLSTONE REGIONAL HOSPITAL LLC (NPI# 1295901007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295901007
Entity Type Organization
Organization Name WELLSTONE REGIONAL HOSPITAL LLC
Practice Address 2700 Vissing Park Rd
Jeffersonville
IN 47130-5989
Practice Telephone 8122848000
Practice Fax Number 8127041221
Mailing Telephone 8122848000
Mailing Fax Number 8127041221
Enumeration Date 2008-05-01
Last Update Date 2014-04-03
Authorized Official Name STEVE FILTON (SRVP CFO)
Authorized Official Telephone 6107683300
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 323P00000X Psychiatric Residential Treatment Facility 8483809 73741 IN Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KY 02000057 05
IN 200813990A 05

Office Location

Street Address 2700 VISSING PARK RD
City JEFFERSONVILLE
State IN
Zip Code 47130-5989

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790782662 Helen Q Guerrero Psychiatry & Neurology 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 2005-07-07
1720554769 Alan J. Hightower, LLC Physician Assistant 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 2018-10-17
1083131957 Zilmed LLC Chiropractor 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 2017-08-23
1750836136 Keisha J. Langolf, Lcsw, LLC Social Worker 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 2016-08-16
1710374236 Heart 2 Heart Wellness LLC Social Worker 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 2015-04-22
1376956888 Mes Counseling LLC Social Worker 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 2014-06-03
1487064382 Meghan Stock Social Worker 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 2014-04-30
1528363025 Rebecca Ann Gilberts Social Worker 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 2011-01-14
1548563208 Ashley Lindsey Nurse Practitioner 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 2010-12-17
1437452182 Ashley Lindsey Pmhnp LLC Nurse Practitioner 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 2010-12-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972124717 Jeffersonville Commons Dental Dentist 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 2020-05-04
1467099978 Mercury Ambulance Service Inc Ambulance 623 Crestview Court, Jeffersonville, IN 47130 2019-12-03
1427514710 Conn Hearing Aid Center LLC Hearing Instrument Specialist 1516 Spring Street, Jeffersonville, IN 47130 2019-02-12
1619446127 Wellness for Life Clinic/Center 1 Pirate Pl, Charlestown, IN 47130 2018-11-14
1083199939 Stephanie Allen LLC Dentist 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 2018-09-26
1679068332 Personal Choice Inc Day Training, Developmentally Disabled Services 3114 Clear Stream Wat, Jeffersonville, IN 47130 2018-06-26
1417454638 Jason Allen Social Worker 101 Noahs Ln, Jeffersonville, IN 47130 2018-04-13
1508374299 Kelsey Petty Social Worker 101 Noahs Lane, Jeffersonville, IN 47130 2018-01-16
1336658095 Jenkins Podiatry PC Podiatrist 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 2017-09-26
1831618602 Alyssa Marie Elliott Physical Therapist 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 2017-09-13
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Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831697598 Indianapolis Vamc Psychiatric Residential Treatment Facility 9045 E 59th St Bldg 402, Indianapolis, IN 46216-1030 2018-01-29
1518382993 Patrick Mcneill Psychiatric Residential Treatment Facility 614 Farley Dr, Indianapolis, IN 46214-3575 2014-02-21
1063561272 Associates In Clinical Psychology PC Psychiatric Residential Treatment Facility 317 West Monroe St, Plymouth, IN 46563 2007-01-09
1134276884 Youth Opportunity Center, Inc Psychiatric Residential Treatment Facility 3700 W Kilgore Ave, Muncie, IN 47304-4810 2007-01-04
1982774246 Gibault, Inc. Psychiatric Residential Treatment Facility 6401 S Us Highway 41, Terre Haute, IN 47802-4749 2006-11-08
1801822440 Hhc Indiana Inc. Psychiatric Residential Treatment Facility 1800 N Oak Dr, Plymouth, IN 46563-3406 2006-06-24
1275080400 Shirley Mclean Psychiatric Residential Treatment Facility 1100 W 6th Ave, Gary, IN 46402-1711 2016-09-06
1770970337 Crossroad Child and Family Services Psychiatric Residential Treatment Facility 2525 Lake Ave, Fort Wayne, IN 46805-5407 2015-04-22
1598194516 Damar Services Inc. Psychiatric Residential Treatment Facility 6067 Decatur Blvd, Indianapolis, IN 46241-9606 2013-11-12
1730487901 Gibault, Inc. Psychiatric Residential Treatment Facility 6401 S Us Highway 41, Terre Haute, IN 47802-4749 2011-03-11
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Competitor

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City JEFFERSONVILLE
Zip Code 47130

Improve Information

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Dataset Information

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.

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