NORMAL LIFE OF INDIANA


Address: 107 Villa Court #a, Brazil, IN 47834
Phone: 8124330474

NORMAL LIFE OF INDIANA (NPI# 1568581049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568581049
Entity Type Organization
Organization Name NORMAL LIFE OF INDIANA
Other Organization Name TEHA VILLA
Practice Address 107 Villa Court #a
Brazil
IN 47834
Mailing Address 10140 Linn Station Rd
Louisville
KY 40223-3813
Practice Telephone 8124330474
Mailing Telephone 8008660860
Enumeration Date 2007-03-28
Last Update Date 2020-08-22
Authorized Official Name DEENA OMBRES (PRIVACY OFFICER)
Authorized Official Telephone 5023942387
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
TEHA VILLA Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1659790285 Normal Life of Indiana Day Training, Developmentally Disabled Services 414 S Fares Ave, Evansville, IN 47714-1571 2014-04-10
1760647713 Normal Life of Indiana Intermediate Care Facility, Mentally Retarded 630 N 3rd St, Terre Haute, IN 47807-2643 2008-07-18
1376759282 Normal Life of Indiana Specialist 201 N Baldwin Ave, Marion, IN 46952-3533 2007-05-15
1932228442 Normal Life of Indiana Intermediate Care Facility, Mentally Retarded 407 12th St, Huntingburg, IN 47542 2007-03-28
1023137536 Normal Life of Indiana Intermediate Care Facility, Mentally Retarded 420 Franklin, Troy, IN 47588 2007-03-28
1821117334 Normal Life of Indiana Intermediate Care Facility, Mentally Retarded 1454 S 7th St, Terre Haute, IN 47802-1234 2007-03-28
1023137502 Normal Life of Indiana Intermediate Care Facility, Mentally Retarded 411 N Pine St, Brazil, IN 47834-1563 2007-03-28
1558480046 Normal Life of Indiana Intermediate Care Facility, Mentally Retarded 2429 S 11th St, Terre Haute, IN 47802 2007-03-28
1457470908 Normal Life of Indiana Intermediate Care Facility, Mentally Retarded 3000 Bailey Ln, Evansville, IN 47720 2007-03-28
1689793127 Normal Life of Indiana Intermediate Care Facility, Mentally Retarded 428 Sterchi Dr, Evansville, IN 47711-7805 2007-03-28

Office Location

Street Address 107 VILLA COURT #A
City BRAZIL
State IN
Zip Code 47834

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972149763 Stephen P Ernest Pharmacist Kroger Pharmacy Store 248, 100 Forest Park Plaza, Brazil, IN 47834 2019-11-27
1891211330 Melissa Ann Barker Family Medicine 115 Murphy Ave, Suite A, Brazil, IN 47834 2017-08-16
1528387412 Internal Medicine Practice, LLC Internal Medicine 1011 E. National Ave, Brazil, IN 47834 2010-05-18
1770778102 Fcp, Inc. Clinic/Center 11295 Ncr 300w, Brazil, IN 47834 2007-09-10
1760605505 Erin Jenelle Graves Speech-Language Pathologist 1841 West County Road 500 North, Brazil, IN 47834 2007-04-10
1255491130 Raymond L Dennany IIi Dentist 21 N Washington St, Brazil, IN 47834 2006-12-11
1619054715 Michael E Whitman Chiropractor 501 E Us Hwy 40, Brazil, IN 47834 2006-11-01
1275635534 Nilah Nicole Bonham Optometrist 325 W National Avenue, Brazil, IN 47834 2006-09-05
1649387937 John Jay Cash Dentist 924 South Forest Avenue, Brazil, IN 47834 2006-08-24
1215952601 Sally J Sidman Emergency Medicine 1206 E. National Avenue, Brazil, IN 47834 2006-07-13
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023137502 Normal Life of Indiana Intermediate Care Facility, Mentally Retarded 411 N Pine St, Brazil, IN 47834-1563 2007-03-28
1285753756 Normal Life of Indiana Intermediate Care Facility, Mentally Retarded 1013 W White Tail Ct, Brazil, IN 47834-7894 2007-03-28
1962520627 Normal Life of Indiana Intermediate Care Facility, Mentally Retarded 605 W Craig Ave, Brazil, IN 47834-7403 2007-03-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689051757 The Arc of Northeast Indiana, Inc. Intermediate Care Facility, Mentally Retarded 4720 Ashland Dr, Fort Wayne, IN 46835-1510 2015-04-28
1710251830 Rescare Inc. Intermediate Care Facility, Mentally Retarded 213 W. Water St., Centerville, IN 47330 2012-03-07
1871866368 Rescare Inc. Intermediate Care Facility, Mentally Retarded 1010 Kellam Road, Centerville, IN 47330 2012-02-15
1215237672 Pathfinder Services, Inc. Intermediate Care Facility, Mentally Retarded 2038 Camden Ct, Huntington, IN 46750-3993 2010-11-01
1396050076 Pathfinder Services Inc Intermediate Care Facility, Mentally Retarded 2033 Duncan Dr, Huntington, IN 46750-4501 2010-08-18
1003052184 Rescare, Inc. Intermediate Care Facility, Mentally Retarded 16609 Sima Gray Rd, Henryville, IN 47126-8626 2008-12-19
1912143009 Rescare, Inc. Intermediate Care Facility, Mentally Retarded 16611 Sima Gray Rd, Henryville, IN 47126-8626 2008-12-19
1649416736 Rescare, Inc. Intermediate Care Facility, Mentally Retarded 16613 Sima Gray Rd, Henryville, IN 47126-8626 2008-12-19
1528213360 Res-care, Inc. Intermediate Care Facility, Mentally Retarded 1306 S Bloomington St, Greencastle, IN 46135-2208 2008-11-20
1316194863 The Arc of Northeast Indiana, Inc Intermediate Care Facility, Mentally Retarded 4915 Haffner Drive, Fort Wayne, IN 46825-3535 2008-08-26
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Competitor

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City BRAZIL
Zip Code 47834

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Dataset Information

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.

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