Organization Active NPI

Amhealth (Evansville), Inc.

  • Adult Care Home Facility
  • Evansville, IN
National Provider Identifier
1104965755
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
AMHEALTH (EVANSVILLE), INC.
Practice address
101 SE 1St St
Evansville, IN 47708-1406
Phone
(812) 425-1041
Fax
(812) 425-4054
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Katie Lee Goldsberry
Title
Controller
Phone
(812) 425-1041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X IN Primary

Addresses

Primary practice location

101 SE 1St St
Evansville, IN 47708-1406

Mailing address

101 SE 1St St
Evansville, IN 47708-1406
Phone (812) 425-1041

Other identifiers 1

IdentifierTypeStateIssuer
2318OtherINRBA

Other names 1

  • Riverwalk Communities Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104965755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SE 1ST ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081406",
            "telephone_number": "812-425-1041",
            "fax_number": "812-425-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SE 1ST ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081406",
            "telephone_number": "812-425-1041",
            "fax_number": "812-425-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMHEALTH (EVANSVILLE), INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSBERRY",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "812-425-1041",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBA",
            "identifier": "2318",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverwalk Communities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, 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.