SECOND BAPTIST CHURCH (NPI# 1659507010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659507010 |
| Entity Type | Organization |
| Organization Name | SECOND BAPTIST CHURCH |
| Practice Address |
3705 Kessler Blvd North Dr Indianapolis IN 46222-5800 |
| Practice Telephone | 3179250335 |
| Practice Fax Number | 3179253922 |
| Mailing Telephone | 3179250335 |
| Mailing Fax Number | 3179253922 |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |
| Authorized Official Name | MR. DAVID W GREENE SR. (PRESIDENT) |
| Authorized Official Telephone | 3179250335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 200937220A | IN | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609361 | Second Baptist Church | Clinic/Center | 3310 E Commerce St, San Antonio, TX 78220-1220 | 2020-11-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SECOND BAPTIST CHURCH | |
| Washington State Corporations | SECOND BAPTIST CHURCH | 2801 Virginia Ave, Everett, WA 98201-3745 |
| Connecticut Business Registrations | SECOND BAPTIST CHURCH OF BRIDGEPORT, CONNECTICUT | |
| Iowa Business Entities | SECOND BAPTIST CHURCH OF FORT MADISON, IOWA | 3121 Ave N, Ft Madison, IA 52627 |
| Indiana Business Entities | SECOND BAPTIST CHURCH OF LAFAYETTE INDIANA INC | 2925 S. 18th St, Lafayette, IN 47909-3101 |
| Connecticut Business Registrations | SECOND BAPTIST CHURCH OF NEW BRITAIN, INC. | |
| Connecticut Business Registrations | SECOND BAPTIST CHURCH OF NORTH STONINGTON, CONN. | |
| Connecticut Business Registrations | SECOND BAPTIST CHURCH OF WATERBURY, CONN. | |
| Connecticut Business Registrations | SECOND BAPTIST CHURCH OF WOODSTOCK |
| Street Address |
3705 KESSLER BLVD NORTH DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46222-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194472 | Megan Mccullough | Pharmacist | 10617 East Washington Street, Pharmacy At Walmart, Indianapolis, IN 46222 | 2020-11-02 |
| 1215401450 | Resilient Services | Counselor | 3519 W Michigan Street, Indianapolis, IN 46222 | 2019-01-21 |
| 1376925487 | Ossama Elbarawy | Dentist | 2410 W. 17th St, Indianapolis, IN 46222 | 2015-06-25 |
| 1780025163 | Suzy Q Service Cororation | Chore Provider | 2401 N Tibbs Ave, Indianapolis, IN 46222 | 2013-07-12 |
| 1952607939 | Monica Lee Mcmullen | Dietitian, Registered | 2732 West Michigan St., Westside Health Center, Indianapolis, IN 46222 | 2011-02-08 |
| 1306082318 | Jose Fanor Melendez | Psychiatry & Neurology | 3422 N. Taft Av, Indianapolis, IN 46222 | 2008-12-22 |
| 1861693277 | David Hazra | Preventive Medicine | 340 S. White River Parkway, Indianapolis, IN 46222 | 2007-05-31 |
| 1528191467 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 3025 Green Hills Lane, Indianapolis, IN 46222 | 2007-03-13 |
| 1366589467 | Indianapolis Osteopathic Hospital Inc. | Podiatrist | 3520 Guion Rd Suite 204, Indianapolis, IN 46222 | 2007-01-30 |
| 1508919077 | Ronald L. Gemma | Family Medicine | 3750 Guion Rd., Ste. 185, Indianapolis, IN 46222 | 2007-01-19 |
| Find all providers in zip 46222 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184906778 | Indiana Mentor | Foster Care Agency | 8925 N. Meridian Street, #250, Indianapolis, IN 46260 | 2011-09-09 |
| 1811200272 | Indiana Mentor | Foster Care Agency | 8925 N Meridian St Ste 250, Indianapolis, IN 46260-5372 | 2010-07-14 |
| 1801107941 | National Mentor Healthcare LLC | Foster Care Agency | 8925 N Meridian St, Ste. 250, Indianapolis, IN 46260-2386 | 2010-06-23 |
| 1124349048 | Indiana Mentor | Foster Care Agency | 8925 N Meridian St, Suite 250, Indianapolis, IN 46260-2386 | 2010-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689849283 | Villages of Indiana, Inc | Foster Care Agency | 612 E Boulevard, Kokomo, IN 46902-2271 | 2008-04-24 |
| 1215210075 | Family Ark, Inc. | Foster Care Agency | 215 Rainbow Way, Jeffersonville, IN 47130-5374 | 2011-09-27 |
| City | INDIANAPOLIS |
| Zip Code | 46222 |
Please comment or provide details below to improve the information on SECOND BAPTIST CHURCH.
| 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.