Extra Special Parents of Indiana, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

16890ASO Issued in IN

Legal business name

EXTRA SPECIAL PARENTS OF INDIANA, LLC

Practice address

402 W Main St
Madison, IN 47250-3717

Phone

(812) 274-0228

Fax

(812) 274-0466

NPI assigned

Apr 8, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Deborah Ooley, MS

Title

Vice President

Phone

(812) 274-0228

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1033505946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W MAIN ST",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472503717",
            "telephone_number": "812-274-0228",
            "fax_number": "812-274-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W MAIN ST",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472503717",
            "telephone_number": "812-274-0228",
            "fax_number": "812-274-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA SPECIAL PARENTS OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "OOLEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "812-274-0228",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "16890ASO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Madison, IN
• Providers in Madison, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.