SYCAMORE REHABILITATION SERVICES (NPI# 1992859326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992859326 |
| Entity Type | Organization |
| Organization Name | SYCAMORE REHABILITATION SERVICES |
| Other Organization Name | SYCAMORE SERVICES |
| Practice Address |
1001 Sycamore Ln Danville IN 46122-1474 |
| Mailing Address |
Po Box 369 Danville IN 46122-0369 |
| Practice Telephone | 3177454715 |
| Practice Fax Number | 3177458271 |
| Mailing Telephone | 3177454715 |
| Mailing Fax Number | 3177458271 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PATRICK G COCKRUM (CEO) |
| Authorized Official Telephone | 3177454715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| X | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Sycamore Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1538297262 | Sycamore Rehabilitation Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 465 S Main St Ste 108, Martinsville, IN 46151-2161 | 2007-03-02 |
| 1528197159 | Sycamore Rehabilitation Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8313 East Co. Rd. 300 S., Plainfield, IN 46168 | 2007-03-02 |
| 1053576595 | Sycamore Rehabilitation Services | Non-emergency Medical Transport (VAN) | 465 S Main St, Suite 108, Martinsville, IN 46151-2162 | 2008-07-24 |
| Street Address |
1001 SYCAMORE LN |
| City | DANVILLE |
| State | IN |
| Zip Code | 46122-1474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669016382 | Heidi M Dougherty | Speech-Language Pathologist | 1001 Sycamore Ln, Danville, IN 46122-1474 | 2019-11-06 |
| 1922658970 | Victoria Thatcher Brown | Physical Therapist | 1001 Sycamore Ln, Danville, IN 46122-1474 | 2019-09-11 |
| 1376006627 | Stephanie D Dalton | Occupational Therapy Assistant | 1001 Sycamore Ln, Danville, IN 46122-1474 | 2019-04-12 |
| 1073086039 | Angela Kay Mitchell | Developmental Therapist | 1001 Sycamore Ln, Danville, IN 46122-1474 | 2019-01-02 |
| 1841761343 | Jacqueline Sue Martin | Developmental Therapist | 1001 Sycamore Ln, Danville, IN 46122-1474 | 2018-12-09 |
| 1750866786 | Laura Humphrey | Developmental Therapist | 1001 Sycamore Ln, Danville, IN 46122-1474 | 2018-09-25 |
| 1821572017 | Diana L Cox | Developmental Therapist | 1001 Sycamore Ln, Danville, IN 46122-1474 | 2018-09-24 |
| 1245713379 | Kathryn Cox | Developmental Therapist | 1001 Sycamore Ln, Danville, IN 46122-1474 | 2018-09-14 |
| 1225510456 | Jessica Nikole Daniel | Occupational Therapist | 1001 Sycamore Ln, Danville, IN 46122-1474 | 2018-09-04 |
| 1356829246 | Lisa M Peterson | Occupational Therapist | 1001 Sycamore Ln, Danville, IN 46122-1474 | 2018-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225520745 | Lilly Finley | Specialist/Technologist | 3571 N County Road 500 E, Danville, IN 46122 | 2018-05-31 |
| 1780180406 | Megan Marie Allison | Physician Assistant | 100 Hospital Ln Ste 105, Danville, IN 46122 | 2018-04-02 |
| 1255745709 | Nichole Louise Drilling | Physician Assistant | 1000 E. Main St., Danville, IN 46122 | 2014-06-12 |
| 1972827335 | Edwin J Jackson Jr. | Internal Medicine | 112 Hospital Ln Ste 303, Danville, IN 46122 | 2010-03-15 |
| 1144424458 | Monet Williams Bowling | Surgery | 112 Hospital Ln Ste 100, Danville, IN 46122 | 2007-06-12 |
| 1205957685 | Tricia L Veach | Day Training/Habilitation Specialist | 1600 E Main St, Box 369 (po), Danville, IN 46122 | 2007-04-03 |
| 1699897645 | Jon Erickson | Dentist | 23 S County Road 200 East, Ste B, Danville, IN 46122 | 2007-04-03 |
| 1982721429 | Shiela M Balensiefer | Specialist | 1600 E Main Street, Danville, IN 46122 | 2007-03-22 |
| 1265514277 | Roberta Marie Gray | Registered Nurse | Hendricks Regional Health Partners In Care, 1000 E Main St, Danville, IN 46122 | 2006-10-19 |
| 1255427886 | John Kingsley Sparzo | Internal Medicine | 1000 E. Main St, Danville, IN 46122 | 2006-10-04 |
| Find all providers in zip 46122 | ||||
| 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 |
|---|---|---|---|---|
| 1447625835 | Worksource Enterprises | Day Training, Developmentally Disabled Services | 3715 N Vermilion St, Danville, IL 61832-1130 | 2015-12-10 |
| 1801271366 | Cornerstone Behavioral Health Services Inc | Day Training, Developmentally Disabled Services | 109 Druid Ln, Danville, VA 24541-4923 | 2015-07-27 |
| 1306227723 | Holland-farm, Inc. | Day Training, Developmentally Disabled Services | 2251 Gose Pike, Danville, KY 40422-8428 | 2015-06-11 |
| 1790199487 | County of Boone - Board of Health | Day Training, Developmentally Disabled Services | 213 Kenmore Dr, Danville, WV 25053-6890 | 2014-06-20 |
| 1467705582 | Ndt Care Services, LLC | Day Training, Developmentally Disabled Services | 1310 Hustonville Rd, Danville, KY 40422-2422 | 2012-10-26 |
| 1700034493 | Uniek Solutions, LLC | Day Training, Developmentally Disabled Services | 357 Terry Ave, Danville, VA 24540-1407 | 2008-09-05 |
| 1841349560 | Pioneer Vocational Industrial Services,inc. | Day Training, Developmentally Disabled Services | 150 Corporate Dr, Danville, KY 40423-1396 | 2007-01-10 |
| 1104986025 | Carvaga Industries Incorperated | Day Training, Developmentally Disabled Services | 901 Industrial Ave, Danville, VA 24541-2443 | 2006-12-11 |
| 1811070287 | Alternative Community Experiences, Inc. | Day Training, Developmentally Disabled Services | 145 Franklin Tpke, Danville, VA 24540-2059 | 2006-10-22 |
| 1972022960 | The Arc of Southside Inc. | Day Training, Developmentally Disabled Services | 734 Main St, Danville, VA 24541-1819 | 2017-09-12 |
| Find all providers in DANVILLE | ||||
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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.