GRANT-BLACKFORD MENTAL HEALTH, INC. (NPI# 1689710741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689710741 |
| Entity Type | Organization |
| Organization Name | GRANT-BLACKFORD MENTAL HEALTH, INC. |
| Other Organization Name | HESTER HOLLIS CONCERN CENTER |
| Practice Address |
118 E Washington St Hartford City IN 47348-2210 |
| Mailing Address |
505 N Wabash Ave Marion IN 46952-2608 |
| Practice Telephone | 7653841303 |
| Practice Fax Number | 7656627480 |
| Mailing Telephone | 7656623971 |
| Mailing Fax Number | 7656627480 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2013-03-20 |
| Authorized Official Name | PAUL G. KUCZORA (CEO) |
| Authorized Official Telephone | 7656623971 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRANT-BLACKFORD MENTAL HEALTH, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 414-0-CMHC | IN | Agencies |
| Other Name | Type Code |
|---|---|
| Hester Hollis Concern Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497891550 | Grant-blackford Mental Health, Inc. | Community/Behavioral Health | 116 E 32nd St, Marion, IN 46953-4060 | 2007-01-29 |
| 1952447013 | Grant-blackford Mental Health, Inc. | Psychiatric Unit | 505 N Wabash Ave, Marion, IN 46952-2608 | 2007-01-29 |
| 1407848500 | Grant-blackford Mental Health, Inc. | Clinic/Center | 505 N Wabash Ave, Marion, IN 46952-2608 | 2005-08-16 |
| Street Address |
118 E WASHINGTON ST |
| City | HARTFORD CITY |
| State | IN |
| Zip Code | 47348-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609813682 | Rebecca Kovacs | Counselor | 118 E Washington St, Hartford City, IN 47348-2210 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902999808 | Roger L Frazier | Family Medicine | 2008 No Walnut St, Hartford City, IN 47348 | 2006-10-02 |
| 1114927746 | Americare Living Center of Hartford City | Skilled Nursing Facility | 415 N Mill St, Hartford City, IN 47348 | 2005-07-26 |
| 1891717104 | Ronald Gene Wolf | Dentist | 1619 N High St, Hartford City, IN 47348-1063 | 2006-07-24 |
| 1124064910 | Elizabeth Rose Ehrhart | Dietitian, Registered | 105 Evergreen Way, Hartford City, IN 47348-1087 | 2006-06-21 |
| 1659438687 | Jeremy Paul Loney | Chiropractor | 1408 N Cherry St, Hartford City, IN 47348-1302 | 2007-01-02 |
| 1275989014 | Meleah Robertson | Chiropractor | 1408 N Cherry St, Hartford City, IN 47348-1302 | 2016-05-11 |
| 1093167884 | R Matthew Maddox Dentistry, LLC | Dentist | 1200 N Walnut St, Hartford City, IN 47348-1338 | 2016-07-06 |
| 1861462343 | Danny L Ahrens | Hearing Instrument Specialist | 1608 N Cherry St, Hartford City, IN 47348-1356 | 2006-01-25 |
| 1285956839 | Hearing Aid Outlet | Hearing Aid Equipment | 1608 N Cherry St, Hartford City, IN 47348-1356 | 2010-02-24 |
| 1316040090 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 1700 N Walnut St, Hartford City, IN 47348-1358 | 2006-09-07 |
| Find all providers in zip 47348 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473529 | Susan M Baker, Lcsw Inc | Community/Behavioral Health | 404 Washington St Ste 201-2, Columbus, IN 47201-6791 | 2020-10-04 |
| 1710599154 | We Are The Village Inc. | Community/Behavioral Health | 623 Washington St, Gary, IN 46402-2401 | 2020-08-18 |
| 1750993218 | Minds Matter, LLC | Community/Behavioral Health | 2205 E Morgan Ave Ste 122, Evansville, IN 47711-4358 | 2020-08-17 |
| 1629695739 | Connieflower Behavioral Health | Community/Behavioral Health | 6738 Tramcus Dr, Indianapolis, IN 46260-4586 | 2020-07-06 |
| 1437773322 | Carter Counseling Services LLC | Community/Behavioral Health | 1387 N Shadeland Ave Ste B, Indianapolis, IN 46219-3605 | 2020-06-05 |
| 1568084416 | Renaissance Counseling Center,llc | Community/Behavioral Health | 1210 Guthrie St, Fort Wayne, IN 46802 | 2020-05-14 |
| 1013538081 | Progressions Counseling, LLC | Community/Behavioral Health | 250 S Washington St Ste 2, Hobart, IN 46342-4151 | 2020-05-01 |
| 1265061998 | Gateway Psychological Services | Community/Behavioral Health | 435 E Main St Ste 195, Greenwood, IN 46143-1456 | 2020-04-04 |
| 1619500626 | Family Strength Services | Community/Behavioral Health | 10026 E 21st St Ste 9, Indianapolis, IN 46229-1802 | 2020-02-18 |
| 1619509080 | Revive Counseling and Wellness | Community/Behavioral Health | 317 S Eddy St, South Bend, IN 46617-3201 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
| City | HARTFORD CITY |
| Zip Code | 47348 |
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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.