FULL POTENTIAL. INC (NPI# 1346785722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346785722 |
| Entity Type | Organization |
| Organization Name | FULL POTENTIAL. INC |
| Practice Address |
700 W Toledo St P.o 187 Fremont IN 46737-7606 |
| Practice Telephone | 2604990359 |
| Mailing Telephone | 2604990359 |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |
| Authorized Official Name | MRS. CYNTHIA SUE CHURCH (PRESIDENT) |
| Authorized Official Telephone | 2604990359 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201404030-A | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Full Potential Chiropractic Inc. | 808 Sunset Street, Longmont, CO 80501 |
| Street Address |
700 W TOLEDO ST P.O 187 |
| City | FREMONT |
| State | IN |
| Zip Code | 46737-7606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801809421 | Susan H. Mauk | Dentist | 1003 W Toledo Street, Fremont, IN 46737 | 2006-08-14 |
| 1871715359 | Fremont Family Dentistry, P.C. | Dentist | 1003 W Toledo Street, Fremont, IN 46737-0667 | 2007-05-03 |
| 1508955907 | Diane R Crisman | Speech-Language Pathologist | 401 South Broad St., Suite A, Fremont, IN 46737-0774 | 2006-10-12 |
| 1093368391 | Adam Stump | Dentist | 1003 W Toledo St, Fremont, IN 46737-2075 | 2019-07-17 |
| 1437263944 | Ted J. Crisman | Family Medicine | 401 S Broad St, Ste. B, Fremont, IN 46737-2114 | 2006-08-19 |
| 1790227288 | Alexandra Marie Friend | Rehabilitation Practitioner | 407 Charles Dr, Fremont, IN 46737-7615 | 2016-11-15 |
| 1558374876 | Christopher James Bretz | Acupuncturist | 804 Spring Hill Ct, Fremont, IN 46737-7625 | 2006-08-15 |
| 1699784686 | William Edward Bopp | Pharmacist | 6998 E 400 N, Fremont, IN 46737-8028 | 2006-08-07 |
| 1457960536 | Lake George Surgery Center, LLC | Clinic/Center | 6245 N Old 27 Ste A10, Fremont, IN 46737-8707 | 2020-07-24 |
| 1467067579 | Apollo Medical Group of Lake George LLC | Nurse Anesthetist, Certified Registered | 6245 N Old 27, Fremont, IN 46737-8711 | 2020-09-15 |
| Find all providers in zip 46737 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125076 | The Alliance for Community Wellness | Community/Behavioral Health | 39155 Liberty St Ste F600, Fremont, CA 94538-1513 | 2019-07-03 |
| 1386195337 | City of Fremont Youth and Family Services | Community/Behavioral Health | 37141 2nd St, Fremont, CA 94536-2835 | 2016-10-14 |
| 1487108205 | Abode Services | Community/Behavioral Health | 4075 Papazian Way Ste 102, Fremont, CA 94538-4380 | 2016-08-10 |
| 1114386414 | Carnales Unidos Reformando Adictos | Community/Behavioral Health | 37471 Glenmoor Dr, Fremont, CA 94536-5731 | 2016-02-15 |
| 1295104818 | Carnales Unidos Reformando Adictos | Community/Behavioral Health | 37469 Glenmoor Dr, 37471 Glenmoor Drive, Fremont, CA 94536-5731 | 2015-09-24 |
| 1801277223 | City of Fremont | Community/Behavioral Health | 41717 Palm Ave, Fremont, CA 94539-4722 | 2015-06-11 |
| 1558742973 | City of Fremont | Community/Behavioral Health | 37944 Farwell Dr, Fremont, CA 94536-7008 | 2015-06-11 |
| 1194106518 | City of Fremont | Community/Behavioral Health | 41365 Chapel Way, Fremont, CA 94538-4202 | 2015-06-11 |
| 1023499449 | City of Fremont | Community/Behavioral Health | 41399 Chapel Way, Fremont, CA 94538-4202 | 2015-06-11 |
| 1003297425 | City of Fremont | Community/Behavioral Health | 47100 Fernald St, Fremont, CA 94539-7005 | 2015-06-11 |
| Find all providers in FREMONT | ||||
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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.