ST. JOSEPH HOME FOR BOYS, INC (NPI# 1528285897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528285897 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH HOME FOR BOYS, INC |
| Practice Address |
4007 S Sheffield Ave Hammond IN 46327-1242 |
| Practice Telephone | 2199316451 |
| Practice Fax Number | 9219312241 |
| Mailing Telephone | 2199316451 |
| Mailing Fax Number | 9219312241 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KENNETH M FLANAGAN (DIOCESAN DIRECTOR) |
| Authorized Official Telephone | 2199316451 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 15840393330242 | IN | Residential Treatment Facilities |
| Street Address |
4007 S SHEFFIELD AVE |
| City | HAMMOND |
| State | IN |
| Zip Code | 46327-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609231927 | Southlake Community Mental Health Center, Inc | Clinic/Center | 4022 Hohman Ave, Hammond, IN 46327 | 2015-12-31 |
| 1952445330 | William M. Bercik | Dentist | 3810 S Hohman Ave, Hammond, IN 46327-1159 | 2007-02-18 |
| 1295877694 | Hoosier Pharmacy | Pharmacy | 3833 Hohman Ave., Hammond, IN 46327-1160 | 2007-02-13 |
| 1558440149 | St Margaret Mercy Healthcare Centers | Family Medicine | 3831 S Hohman Ave, Hammond, IN 46327-1160 | 2006-11-03 |
| 1538151261 | Claude E Foreit | Family Medicine | 3831 Hohman Ave, Hammond, IN 46327-1160 | 2005-08-18 |
| 1508858069 | Claude A Foreit | Family Medicine | 3831 Hohman Ave, Hammond, IN 46327-1160 | 2005-08-19 |
| 1356333082 | Christopher John Mcintire | Family Medicine | 3831 Hohman Ave, Hammond, IN 46327-1160 | 2005-08-18 |
| 1659923894 | Genoa Healthcare, LLC | Pharmacy | 4022 Hohman Ave Ste 103, Hammond, IN 46327-1239 | 2019-07-09 |
| 1437180346 | Rujuta R Gandhi | Family Medicine | 4022 Hohman Ave, Hammond, IN 46327-1239 | 2006-07-06 |
| 1942587449 | Lori Ann Morrow | Nurse Practitioner | 4022 Hohman Ave, Hammond, IN 46327-1239 | 2011-11-10 |
| Find all providers in zip 46327 | ||||
| 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 |
| 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 |
| 1699868893 | Crossroad - Fort Wayne Childrens Home | Residential Treatment Facility, Emotionally Disturbed Children | 2525 Lake Ave, Fort Wayne, IN 46805-5407 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST. JOSEPH HOME FOR BOYS, INC.
| 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.