UMBRELLA FAMILY WAIVER SERVICES, LLC (NPI# 1396783932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396783932 |
| Entity Type | Organization |
| Organization Name | UMBRELLA FAMILY WAIVER SERVICES, LLC |
| Practice Address |
208 W 1st St Rushville IN 46173-1903 |
| Mailing Address |
Po Box 637 Rushville IN 46173-0637 |
| Practice Telephone | 7659321332 |
| Practice Fax Number | 7658255080 |
| Mailing Telephone | 7659321332 |
| Mailing Fax Number | 7659321332 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2012-12-03 |
| Authorized Official Name | DEBRA ANN RIEBSOMER (DIRECTOR) |
| Authorized Official Telephone | 7659321332 |
| Authorized Official Credential | RN |
| 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 | 200445770B | IN | Residential Treatment Facilities |
| Street Address |
208 W 1ST ST |
| City | RUSHVILLE |
| State | IN |
| Zip Code | 46173-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396267969 | Teodora Manlangit Ordas | Physical Therapist | 1201 Smith Drive, Rushville, IN 46173 | 2017-07-14 |
| 1831394758 | Ryan S White | Family Medicine | 1300 N. Main Street, Rushville, IN 46173 | 2007-06-20 |
| 1245371715 | John Wayne Gasser | Marriage & Family Therapist | 218 North Perkins Ave, Rushville, IN 46173 | 2007-02-09 |
| 1174534887 | Orthopaedic Surgical Care Institute | Orthopaedic Surgery | 1300 North Main Street, Rushville, IN 46173 | 2006-08-10 |
| 1295775161 | Darin Wade Wallace | Chiropractor | 1520 North Main Street, Rushville, IN 46173 | 2006-06-07 |
| 1891755286 | Kurt Leon Jacobs | Family Medicine | 807 S St Rd 3, Rushville, IN 46173 | 2006-03-28 |
| 1063498343 | Gregory Edmund Hyde | Otolaryngology | 110 E. 13th Street, Rushville, IN 46173 | 2005-12-19 |
| 1396736054 | Jitendra M Amin | Family Medicine | 725 N Spencer St, Rushville, IN 46173 | 2005-11-02 |
| 1669960845 | Cheryl L Turner-romans | Social Worker | 201 Conrad Harcourt Way, Suite A, Rushville, IN 46173 | 2018-04-24 |
| 1982971016 | Teresa D Geis | Registered Nurse | 1300 N Main Street, Rushville, IN 46173 | 2011-11-17 |
| Find all providers in zip 46173 | ||||
| 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.