BLUE RIVER SERVICES, INC. (NPI# 1336262567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336262567 |
| Entity Type | Organization |
| Organization Name | BLUE RIVER SERVICES, INC. |
| Practice Address |
1365 Marvy Ln Palmyra IN 47164 |
| Mailing Address |
Po Box 547 Corydon IN 47112-0547 |
| Practice Telephone | 8123644105 |
| 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 | 100240270 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 |
| 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 |
| 1184747313 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5771 E. Speed Rd, Milltown, IN 47145 | 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 |
1365 MARVY LN |
| City | PALMYRA |
| State | IN |
| Zip Code | 47164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154419927 | Antoinette Jean Sartini | Dentist | 845 Main Street Ne, Palmyra, IN 47164 | 2006-10-10 |
| 1528307980 | Lauren Anne Jennings | Community Health Worker | 3028 E Bethlehem Church Rd, Palmyra, IN 47164-6977 | 2013-02-05 |
| 1134753403 | Blue River Services, Inc. | Counselor | 14495 Huff St Ne, Palmyra, IN 47164-8876 | 2020-02-26 |
| 1598960999 | Janet Lynn Streepey | Specialist | 691 Main St Ne, Palmyra, IN 47164-8894 | 2007-06-18 |
| 1356389498 | Floyd Memorial Hospital and Health Services | Family Medicine | 691 Main Street Ne, Palmyra Family Medicine, Palmyra, IN 47164-8894 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507955 | Jessie Hubright | Registered Nurse | 4634 S Creek Rd, Palmyra, NY 14522-9728 | 2020-10-29 |
| 1255947503 | Brittany Leigh Sanders | Social Worker | 46 Woodlawn Dr, Palmyra, VA 22963-2732 | 2020-09-22 |
| 1487269759 | Stephanie Elizabeth Petersen | Social Worker | 153 Salzburg Vlg, Palmyra, NY 14522-1343 | 2020-09-13 |
| 1730794256 | Lucy Hill Services | Case Manager/Care Coordinator | 3 Drew Ct, Palmyra, VA 22963-2700 | 2020-09-11 |
| 1255946166 | Rachael Omdoll | Dietitian, Registered | 700 Airview Dr, Palmyra, WI 53156-9204 | 2020-09-09 |
| 1720699457 | Rebecca Lee Riddle-whitlow | Social Worker | 13623 James Madison Hwy, Palmyra, VA 22963-4300 | 2020-08-14 |
| 1487265401 | Erin Chapman Dpt | Clinic/Center | 10 Seminole Trl, Palmyra, VA 22963-3157 | 2020-08-13 |
| 1255942017 | Mary Kendt | Registered Nurse | 250 Johnson St Apt 5d, Palmyra, NY 14522-1452 | 2020-08-13 |
| 1366053605 | Byam Counseling LLC | Counselor | 86 Joshua Ln, Palmyra, VA 22963-6208 | 2020-08-11 |
| 1023628922 | Wendy Childs | Dietitian, Registered | 724 Parry Ave, 1st Floor, Palmyra, NJ 08065 | 2020-08-05 |
| Find all providers in PALMYRA | ||||
| 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 |
|---|---|---|---|---|
| 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.