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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 323P00000X | Psychiatric Residential Treatment Facility | 8483809 73741 | IN | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 02000057 | 05 | |
IN | 200813990A | 05 |
Street Address |
2700 VISSING PARK RD |
City | JEFFERSONVILLE |
State | IN |
Zip Code | 47130-5989 |
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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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 Code | 323P00000X |
Grouping | Residential Treatment Facilities |
Classification | Psychiatric Residential Treatment Facility |
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 |
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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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City | JEFFERSONVILLE |
Zip Code | 47130 |
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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.