SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER (NPI# 1811134588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811134588 |
| Entity Type | Organization |
| Organization Name | SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER |
| Other Organization Name | REGIONAL MENTAL HEALTH CENTER |
| Practice Address |
8555 Taft St Merrillville IN 46410-6123 |
| Mailing Address |
8400 Louisiana St Merrillville IN 46410-6385 |
| Practice Telephone | 2197694005 |
| Mailing Telephone | 2197571928 |
| Mailing Fax Number | 2197571950 |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-06-18 |
| Authorized Official Name | MR. ROBERT KRUMWIED (PRESIDENT/CEO) |
| Authorized Official Telephone | 2197571970 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100200020A | 05 |
| Other Name | Type Code |
|---|---|
| Regional Mental Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386107746 | Southlake Community Mental Health Center | Clinic/Center | 8555 Taft St, Merrillville, IN 46410-6123 | 2019-04-11 |
| 1902043672 | Southlake Community Mental Health Center | Clinic/Center | 8555 Taft St, Merrillville, IN 46410-6123 | 2009-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC | 8555 Taft Street, Merrillville, IN 46410 |
| Street Address |
8555 TAFT ST |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-6123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927142 | Jose Lorenzo Ramirez | Psychiatry & Neurology | 8555 Taft St, Merrillville, IN 46410 | 2005-08-01 |
| 1669098471 | Lucy Chavez-reyes | Registered Nurse | 8555 Taft St, Merrillville, IN 46410-6123 | 2020-06-18 |
| 1972126019 | Jennifer Vega | Registered Nurse | 8555 Taft St, Merrillville, IN 46410-6123 | 2020-05-23 |
| 1043832280 | Christine M Juda | Registered Nurse | 8555 Taft St, Merrillville, IN 46410-6123 | 2020-05-11 |
| 1881227650 | Deidre Blackwell | Counselor | 8555 Taft St, Merrillville, IN 46410-6123 | 2020-02-19 |
| 1316582018 | Ameer Elsalaymeh | Counselor | 8555 Taft St, Merrillville, IN 46410-6123 | 2019-11-18 |
| 1548816077 | Nora Alfonsi | Dietitian, Registered | 8555 Taft St, Merrillville, IN 46410-6123 | 2019-08-12 |
| 1932752573 | Eric B Jimenez | Counselor | 8555 Taft St, Merrillville, IN 46410-6123 | 2019-07-23 |
| 1265084859 | Shawn Smith | Nurse Practitioner | 8555 Taft St, Merrillville, IN 46410-6123 | 2019-07-12 |
| 1194382929 | Vincent Liszewski | Registered Nurse | 8555 Taft St, Merrillville, IN 46410-6123 | 2019-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638796 | Markesha B Wilkins | Non-emergency Medical Transport (VAN) | 7829 Whitcomb St, Merrillville, IN 46410-4364 | 2020-08-07 |
| 1619230430 | Loving Care Patient/wheelchair Transport | Non-emergency Medical Transport (VAN) | 6115 Johnson St, Merrillville, IN 46410-2957 | 2012-06-18 |
| 1497981963 | Dortch's Transportation | Non-emergency Medical Transport (VAN) | 6384 Waite St, Merrillville, IN 46410-2854 | 2009-06-10 |
| 1255844320 | Az Medical Transportation Inc | Non-emergency Medical Transport (VAN) | 766 W 65th Ln, Merrillville, IN 46410-3202 | 2017-11-13 |
| 1649571373 | Landmark Medical Transportation | Non-emergency Medical Transport (VAN) | 6966 Broadway, Merrillville, IN 46410-3696 | 2010-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062511 | Indy Medical Trans LLC | Non-emergency Medical Transport (VAN) | 4948 W Washington St, Indianapolis, IN 46241 | 2020-10-29 |
| 1841897378 | Spotlight Transportation | Non-emergency Medical Transport (VAN) | 2804 55th Pl Ste E, Indianapolis, IN 46220-3546 | 2020-10-07 |
| 1972117638 | Reliable Healthcare Professionals LLC | Non-emergency Medical Transport (VAN) | 450 E 96th St Ste 5024, Indianapolis, IN 46240-5703 | 2020-09-01 |
| 1033729173 | Abundant Transport | Non-emergency Medical Transport (VAN) | 8437 Bell Oaks Dr # 502, Newburgh, IN 47630-2582 | 2020-08-04 |
| 1518581503 | Guardian Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 5950 Old Porter Rd Apt 302, Portage, IN 46368-1555 | 2020-06-04 |
| 1881218469 | Tasha Marie Tyce | Non-emergency Medical Transport (VAN) | 1218 N Adams St, South Bend, IN 46628-3021 | 2020-05-30 |
| 1659994572 | Andrew Mwangi | Non-emergency Medical Transport (VAN) | 3619 Langley Dr, South Bend, IN 46614-1913 | 2020-05-27 |
| 1922620020 | Best Medical Transport Inc | Non-emergency Medical Transport (VAN) | 10424 Lochmere Ct, Fort Wayne, IN 46814-9560 | 2020-05-12 |
| 1972125078 | Mia Wallace | Non-emergency Medical Transport (VAN) | 9165 Otis Ave Ste 232, Indianapolis, IN 46216-2317 | 2020-05-12 |
| 1083235865 | Che's Transportation | Non-emergency Medical Transport (VAN) | 1720 Park West Blvd Apt 1h, Griffith, IN 46319-1338 | 2020-05-02 |
| Find all providers with the same taxonomy | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER.
| 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.