Knox Co. YMCA Senior Service

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

KNOX CO. YMCA SENIOR SERVICE

Practice address

2009 Prospect Ave
Vincennes, IN 47591-5666

Phone

(812) 882-2285

Fax

(812) 882-2186

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Nola E Davis

Title

Ex. Director

Phone

(812) 882-2285

Specialties & licenses 1

Addresses

Other names 1

• Bettye J. McCormick Senior Center Other name

Tax ID family

Bettye J McCormick Senior Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Vincennes YMCA

  • Physical Therapy Clinic/Center
  • Vincennes, IN
  • NPI 1790903946
  NPD tax ID

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043433444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 PROSPECT AVE",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915666",
            "telephone_number": "812-882-2285",
            "fax_number": "812-882-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 PROSPECT AVE",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915666",
            "telephone_number": "812-882-2285",
            "fax_number": "812-882-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX CO. YMCA SENIOR SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NOLA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EX. DIRECTOR",
        "authorized_official_telephone_number": "812-882-2285",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bettye J. McCormick Senior Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tamara S. Klein, MS, PT
• Kara A Klemann, LCSW, LCAC
• Barbara Marie Klima, MD
• Natalie Klumpp, OTR
• Crystal Elizabeth Knipp, MOT,OTR/L
• Knox County Association for Retarded Cititzens, Inc.
• Knox County Association for Retarded Cititzens, Inc.
• Knox County Association for Retarded Citizens, Inc.
• Knox County Association for Retarded Citizens, Inc.
• Knox County Association for Retarded Citizens, Inc.

• Adult Day Care Clinic/Center in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Adult Day Care Clinic/Center in Indiana

• 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.