DAMAR SERVICES INC (NPI# 1992801385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992801385 |
| Entity Type | Organization |
| Organization Name | DAMAR SERVICES INC |
| Other Organization Name | DAMAR SERVICES - MAIN ST |
| Practice Address |
6324 Kentucky Ave Indianapolis IN 46221-9704 |
| Mailing Address |
Po Box 41 Camby IN 46113-0041 |
| Practice Telephone | 3178565201 |
| Practice Fax Number | 3178562333 |
| Mailing Telephone | 3178565201 |
| Mailing Fax Number | 3178562333 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | JIM L. DALTON (CEO) |
| Authorized Official Telephone | 3172814545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100239570A | 05 |
| Other Name | Type Code |
|---|---|
| Damar Services - Main St | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982714937 | Damar Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6067 Decatur Blvd, Indianapolis, IN 46241-9606 | 2006-08-30 |
| 1154574457 | Damar Services Inc | Occupational Therapist | 6067 Decatur Blvd, Indianapolis, IN 46241-9606 | 2008-10-30 |
| 1790909901 | Damar Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6067 Decatur Blvd, Indianapolis, IN 46241-9606 | 2007-04-12 |
| 1518063908 | Damar Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6067 Decatur Blvd, Indianapolis, IN 46241-9606 | 2006-09-15 |
| 1427154814 | Damar Services Inc | Clinic/Center | 6067 Decatur Blvd, Indianapolis, IN 46241-9606 | 2006-09-15 |
| 1184720575 | Damar Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6067 Decatur Blvd, Indianapolis, IN 46241-9606 | 2006-09-15 |
| 1972607117 | Damar Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6067 Decatur Blvd, Indianapolis, IN 46241-9606 | 2006-09-09 |
| Street Address |
6324 KENTUCKY AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46221-9704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598957474 | Kim M Malicoat | Occupational Therapy Assistant | 5019 Emmert Drive, Indianapolis, IN 46221 | 2007-08-14 |
| 1811066715 | Sarah A Wilson | Dentist | 3715 Kentucky Av, Suite B, Indianapolis, IN 46221 | 2006-11-06 |
| 1619074812 | Clarence H Thomas Md LLC | Family Medicine | 6021 Kentucky Avenue, Indianapolis, IN 46221 | 2006-09-20 |
| 1356326763 | Clarence Henry Thomas | Family Medicine | 6021 Kentucky Ave, Indianapolis, IN 46221 | 2005-12-08 |
| 1740443027 | Stacey Anne Ulery | Physical Therapy Assistant | 4851 Tincher Rd, Indianapolis, IN 46221 | 2008-07-07 |
| 1215019401 | Carol June Kauffman | Nurse Practitioner | 6021 Kentucky Avenue, Indianapolis, IN 46221 | 2006-10-19 |
| 1922096734 | William Vanosdol | Pediatrics | 2202 W Morris St, Indianapolis, IN 46221-1404 | 2005-10-06 |
| 1447644638 | Peter Rentsch | Specialist/Technologist | 1336 Shepard St, Indianapolis, IN 46221-1528 | 2015-03-25 |
| 1881681682 | Kathleen Anne Cohenour | Internal Medicine | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2005-10-05 |
| 1053956987 | Tracy L Morrison | Nurse Practitioner | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2019-11-14 |
| Find all providers in zip 46221 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184816274 | Together We Can, Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7314 Woodside Dr, Indianapolis, IN 46260-3137 | 2007-08-13 |
| 1528197381 | Indiana Developmental Training Center LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11075 N Pennsylvania St, Indianapolis, IN 46280 | 2007-03-05 |
| 1811025455 | Sycamore Rehabilitation Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1717 W 86th St, Suite 300, Indianapolis, IN 46260-2050 | 2007-03-02 |
| 1790909901 | Damar Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6067 Decatur Blvd, Indianapolis, IN 46241-9606 | 2007-04-12 |
| 1518063908 | Damar Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6067 Decatur Blvd, Indianapolis, IN 46241-9606 | 2006-09-15 |
| 1184720575 | Damar Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6067 Decatur Blvd, Indianapolis, IN 46241-9606 | 2006-09-15 |
| 1972607117 | Damar Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6067 Decatur Blvd, Indianapolis, IN 46241-9606 | 2006-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861999450 | Pathfinder Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4438 Haney Ct, New Haven, IN 46774-1777 | 2018-04-10 |
| 1548796089 | Branches Residential Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13096 Glenside Dr, Fishers, IN 46037-8863 | 2017-05-03 |
| 1346691177 | Miami Homecare Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1912 Miami St, South Bend, IN 46613-2915 | 2016-06-22 |
| 1033418066 | Bona Vista Programs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3770 W 80 N, Kokomo, IN 46901-3854 | 2011-03-16 |
| 1124327150 | Bona Vista Programs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 112 Westmoreland Dr E, Kokomo, IN 46901-5104 | 2011-03-16 |
| 1366745010 | Adec Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3302 N. Main St, Michawaka, IN 46545-3148 | 2010-12-17 |
| 1457670044 | P L Ford Homes/indiana | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 519 E 60th Ave, Merrillville, IN 46410-3068 | 2010-05-22 |
| 1043533177 | Peak Community Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1234 S 50 E, Winamac, IN 46996-8590 | 2010-03-03 |
| 1154644276 | Peak Community Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1141 19th St, Logansport, IN 46947-4507 | 2010-03-03 |
| 1316260441 | Peak Community Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1625 High St, Logansport, IN 46947-2863 | 2010-03-03 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46221 |
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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.