WABASH CENTER, INC. (NPI# 1659595411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659595411 |
| Entity Type | Organization |
| Organization Name | WABASH CENTER, INC. |
| Practice Address |
744 S 26th St Lafayette IN 47904-3360 |
| Mailing Address |
Po Box 6449 Lafayette IN 47903-6449 |
| Practice Telephone | 7654474576 |
| Mailing Telephone | 7654235531 |
| Mailing Fax Number | 7654234235 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | JEFFREY DARLING (PRESIDENT) |
| Authorized Official Telephone | 7654235531 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100235370A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043434806 | Wabash Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2305 Central St, Lafayette, IN 47905-1676 | 2007-04-12 |
| 1811074966 | Wabash Center, Inc. | Day Training, Developmentally Disabled Services | 2000 Greenbush St, Lafayette, IN 47904-2255 | 2006-11-01 |
| 1609090067 | Wabash Center, Inc. | Intermediate Care Facility, Mentally Retarded | 411 Park Ave, Lafayette, IN 47904-3233 | 2007-04-13 |
| Street Address |
744 S 26TH ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-3360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043434806 | Wabash Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2305 Central St, Lafayette, IN 47905-1676 | 2007-04-12 |
| 1659404622 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 926 S 10th St, Lafayette, IN 47905-1406 | 2007-03-13 |
| 1932232915 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 3938 Prange Dr, Lafayette, IN 47905-4166 | 2007-03-13 |
| 1144352352 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 1221 Warren Dr, Lafayette, IN 47905-2122 | 2007-03-12 |
| 1740312966 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 124 Blackhawk Ln, Lafayette, IN 47906-2019 | 2007-03-12 |
| 1497821169 | Normal Life of Lafayette, Inc. | Intermediate Care Facility, Mentally Retarded | 216 La Rue France, Suite A, Lafayette, LA 70508-3104 | 2006-11-27 |
| 1831264928 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 529 Saint John St, Lafayette, LA 70501-5709 | 2006-11-22 |
| 1245415355 | Normal Life of Lafayette | Intermediate Care Facility, Mentally Retarded | 216 La Rue France, Suite A, Lafayette, LA 70508-3104 | 2008-01-08 |
| 1548443633 | Normal Life of Lafayette, Inc. | Intermediate Care Facility, Mentally Retarded | 216 La Rue France, Suite A, Lafayette, LA 70508-3104 | 2007-12-11 |
| 1609090067 | Wabash Center, Inc. | Intermediate Care Facility, Mentally Retarded | 411 Park Ave, Lafayette, IN 47904-3233 | 2007-04-13 |
| Find all providers in LAFAYETTE | ||||
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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.