BLUE RIVER SERVICES, INC. (NPI# 1750404992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750404992 |
| Entity Type | Organization |
| Organization Name | BLUE RIVER SERVICES, INC. |
| Practice Address |
1365 Old Hwy 135 Nw Corydon IN 47112-0547 |
| Mailing Address |
P.o. Box 547 1365 Old Hwy 135 Nw Corydon IN 47112-0547 |
| Practice Telephone | 8127382408 |
| Practice Fax Number | 8127386281 |
| Mailing Telephone | 8127382408 |
| Mailing Fax Number | 8127386281 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2013-05-06 |
| Authorized Official Name | DANIEL J LOWE (PRESIDENT CEO) |
| Authorized Official Telephone | 8127382408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | IN | Agencies | |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201035740 A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134753403 | Blue River Services, Inc. | Counselor | 14495 Huff St Ne, Palmyra, IN 47164-8876 | 2020-02-26 |
| 1205130267 | Blue River Services, Inc. | Speech-Language Pathologist | 1365 N Old Highway 135, Corydon, IN 47112-2007 | 2011-01-06 |
| 1902029259 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 281 Mcgrain St., Corydon, IN 47112 | 2007-04-11 |
| 1497978746 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 293 Summit View Dr, Corydon, IN 47112-2131 | 2007-04-11 |
| 1598988834 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 N. Nichols Ave., Salem, IN 47167 | 2007-04-11 |
| 1740303973 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 75 E. Oak Dr, Salem, IN 47167 | 2007-04-10 |
| 1336262567 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1365 Marvy Ln, Palmyra, IN 47164 | 2007-04-10 |
| 1427171651 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3607 Klerner Ln, New Albany, IN 47150 | 2007-04-10 |
| 1184747313 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5771 E. Speed Rd, Milltown, IN 47145 | 2007-04-10 |
| Street Address |
1365 OLD HWY 135 NW |
| City | CORYDON |
| State | IN |
| Zip Code | 47112-0547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073544 | Frances M Lasley | Massage Therapist | 1300 N Old Hwy 135, Ste 3, Corydon, IN 47112 | 2020-04-30 |
| 1730744525 | Elizabeth Walden-fisher | Social Worker | Lifespring Health Systems, 535 Country Club Road, S.e., Corydon, IN 47112 | 2019-05-07 |
| 1770927030 | Hannah Wallace | Speech-Language Pathologist | 1079 Alexis Ave Ne, Corydon, IN 47112 | 2013-04-17 |
| 1346590502 | Rocky Mountain Holdings LLC | Ambulance | 1269 Hospital Dr Nw, Corydon, IN 47112 | 2012-09-14 |
| 1295011294 | Karen Lynn Vannis | Pharmacist | 1716 Hwy 337 Nw, Corydon, IN 47112 | 2011-10-24 |
| 1164710109 | Chris Alan Bezy | Social Worker | 2179 Liberty Way Nw, Corydon, IN 47112 | 2011-07-12 |
| 1902102940 | William Thomas Logsdon Sr. | Hearing Instrument Specialist | 925 Settler Trace, Corydon, IN 47112 | 2011-02-09 |
| 1841507191 | Donna Richmond | Specialist | 150 Beechmont Dr, Harrison Health and Rehabilitation Center, Corydon, IN 47112 | 2010-09-08 |
| 1356670053 | Harrison Township Fire Protection District | Ambulance | 120 Hilltop Dr, Corydon, IN 47112 | 2009-12-09 |
| 1982852083 | Linda Kaufer | Physical Therapy Assistant | 150 Beechmont Drive, Corydon, IN 47112 | 2008-09-03 |
| Find all providers in zip 47112 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714318 | Latisha Clark | Day Training, Developmentally Disabled Services | 4909 E 18th St, Indianapolis, IN 46218-4609 | 2020-09-11 |
| 1821576877 | Kreation Residential Services | Day Training, Developmentally Disabled Services | 9941 E 42nd St, Indianapolis, IN 46235-1675 | 2018-08-01 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1720588072 | Indiana Support Services Group LLC | Day Training, Developmentally Disabled Services | 921 E 86th St Ste 205, Indianapolis, IN 46240-1841 | 2018-02-13 |
| 1205334208 | Input Residential | Day Training, Developmentally Disabled Services | 8117 E Washington St, Indianapolis, IN 46219-6813 | 2018-01-25 |
| 1659746709 | The Altruist Group, LLC | Day Training, Developmentally Disabled Services | 9165 Otis Ave, Suite 235, Indianapolis, IN 46216-2027 | 2015-12-01 |
| 1770970576 | Adaptive Community Support Services Inc | Day Training, Developmentally Disabled Services | 702 North Shore Drive, Suite 103, Jeffersonville, IN 47130-3109 | 2015-04-20 |
| 1659790285 | Normal Life of Indiana | Day Training, Developmentally Disabled Services | 414 S Fares Ave, Evansville, IN 47714-1571 | 2014-04-10 |
| 1275958001 | Advocating Angels | Day Training, Developmentally Disabled Services | 55 S State Ave Ste 302, Indianapolis, IN 46201-3895 | 2014-03-04 |
| 1003185380 | Orange Co Rehab & Developmental Svcs | Day Training, Developmentally Disabled Services | 986 W Hospital Rd, Paoli, IN 47454-9668 | 2011-12-15 |
| Find all providers with the same taxonomy | ||||
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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.