COMPASS ROSE ACADEMY (NPI# 1376180273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376180273 |
| Entity Type | Organization |
| Organization Name | COMPASS ROSE ACADEMY |
| Practice Address |
5233 S 50 E Wabash IN 46992-8011 |
| Practice Telephone | 2605694757 |
| Practice Fax Number | 2605630318 |
| Mailing Telephone | 2605694757 |
| Mailing Fax Number | 2605630318 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | MR. MICHAEL HORN (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 2605631158 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | COMPASS ROSE ACADEMY | 5233 S. 50 E., Wabash, IN 46992 |
| Street Address |
5233 S 50 E |
| City | WABASH |
| State | IN |
| Zip Code | 46992-8011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812900 | Gregory Allen Hobson | Counselor | 5233 S 50 E, Wabash, IN 46992-8011 | 2005-06-24 |
| 1114526795 | Marissa Pollard | Counselor | 5233 S 50 E, Wabash, IN 46992-8011 | 2020-10-23 |
| 1215577325 | Adrijana Blazevic | Counselor | 5233 S 50 E, Wabash, IN 46992-8011 | 2020-01-07 |
| 1336615491 | Laurel Steffen | Counselor | 5233 S 50 E, Wabash, IN 46992-8011 | 2018-10-16 |
| 1528544293 | Erin Marie Davis | Psychologist | 5233 S 50 E, Wabash, IN 46992-8011 | 2018-07-16 |
| 1174031231 | Lauren Sowers | Counselor | 5233 S 50 E, Wabash, IN 46992-8011 | 2018-01-11 |
| 1972019966 | Brittany Makin | Counselor | 5233 S 50 E, Wabash, IN 46992-8011 | 2017-12-28 |
| 1710409859 | Ben Makin | Counselor | 5233 S 50 E, Wabash, IN 46992-8011 | 2017-07-11 |
| 1588184790 | Brian Sprayue | Counselor | 5233 S 50 E, Wabash, IN 46992-8011 | 2017-06-20 |
| 1821538711 | Katherine Elizabeth Richardson | Counselor | 5233 S 50 E, Wabash, IN 46992-8011 | 2017-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289169 | Vdp Wabash LLC | Dentist | 278 Manchester Ave., 278 Manchester Ave., Wabash, IN 46992 | 2020-06-10 |
| 1639793870 | Bryan Schmidt | Dentist | 1639 North Cass St, Wabash, IN 46992 | 2020-06-03 |
| 1295279321 | Neil Bever | Chiropractor | 60 West Hill Street, Wabash, IN 46992 | 2016-12-08 |
| 1215393566 | Joshua Ruiz | Counselor | 225 N. Miami Street, Wabash, IN 46992 | 2015-12-31 |
| 1144564626 | Witham Memorial Hospital | Skilled Nursing Facility | 20 John Kissinger Dr, Wabash, IN 46992 | 2012-11-21 |
| 1699041277 | Matthew Richard Riggle | Counselor | 5233 South 50 East, White's Residential and Family Services, Wabash, IN 46992 | 2012-03-28 |
| 1447543541 | Nathan Steven Holley | Chiropractor | 508 North Wabash Street, Wabash, IN 46992 | 2011-05-23 |
| 1700958360 | Robert Mattern Dds | Dentist | 999 Manchester Ave, Wabash, IN 46992 | 2006-11-15 |
| 1154416709 | Tim J Mcvicker | Counselor | 255 N. Miami St., Wabash, IN 46992 | 2006-10-03 |
| 1841395571 | David Lee Frischman | Chiropractor | 508 N Wabash St, Wabash, IN 46992 | 2006-09-14 |
| Find all providers in zip 46992 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417227984 | Willowglen Academy - Indiana | Residential Treatment Facility, Emotionally Disturbed Children | 2301 Jefferson St, Gary, IN 46407-3043 | 2011-12-30 |
| 1811206493 | Shults-lewis Child and Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 325 South 150 East, Valparaiso, IN 46383-7866 | 2010-09-30 |
| 1336454552 | Wernle Youth & Family Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 2000 Wernle Rd, Richmond, IN 47374-7015 | 2010-08-12 |
| 1730494360 | Resource Community Based Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1404 S State Ave, Indianapolis, IN 46203-2009 | 2010-08-06 |
| 1356671192 | Sequel Tsi of Indiana, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2426 S Parker Ln, Lexington, IN 47138-8561 | 2009-12-29 |
| 1578897773 | Open Arms Christian Ministries, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4516 W State Road 54, Bloomfield, IN 47424-5207 | 2009-09-22 |
| 1871749119 | Gibault, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6301 S Us Highway 41, Terre Haute, IN 47802-4771 | 2008-08-18 |
| 1528285897 | St. Joseph Home for Boys, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4007 S Sheffield Ave, Hammond, IN 46327-1242 | 2007-04-19 |
| 1144353715 | Willowglen Academy - Indiana | Residential Treatment Facility, Emotionally Disturbed Children | 308 E 21st Ave, Gary, IN 46407-2618 | 2007-03-13 |
| 1861587230 | Success Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 3455 West Vermont, Indianapolis, IN 46222 | 2006-10-03 |
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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.