NPIMap

Organization Active NPI

Pike County Area Rehabilitation Centers Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Petersburg, IN
National Provider Identifier
1043423312
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
PIKE COUNTY AREA REHABILITATION CENTERS INC
Practice address
1214 E Main St
Petersburg, IN 47567-1339
Phone
(812) 354-8787
NPI assigned
May 7, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Daniel J Cockrum
Title
Executive Director
Phone
(812) 386-6312

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Pike County Area Rehabilitation Centers Inc (5 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1214 E Main St
Petersburg, IN 47567-1339

Mailing address

PO Box 5
Princeton, IN 47670-0005
Phone (812) 386-6312

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043423312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476700005",
            "telephone_number": "812-386-6312",
            "fax_number": "812-385-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 E MAIN ST",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475671339",
            "telephone_number": "812-354-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE COUNTY AREA REHABILITATION CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COCKRUM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-386-6312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.