Vistula Park Preschool, Inc.

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

VISTULA PARK PRESCHOOL, INC.

Practice address

603 N Townline Rd
Lagrange, IN 46761-1136

Phone

(260) 463-2363

Fax

(260) 463-2933

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Lynn Motz, MSW

Title

Program Director

Phone

(260) 463-2363

Specialties & licenses 1

Addresses

Other names 1

• LaGrange County Healthy Families Doing business as

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154449817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N TOWNLINE RD",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467611136",
            "telephone_number": "260-463-2363",
            "fax_number": "260-463-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N TOWNLINE RD",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467611136",
            "telephone_number": "260-463-2363",
            "fax_number": "260-463-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTULA PARK PRESCHOOL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOTZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "260-463-2363",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaGrange County Healthy Families",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabriel Thomas, PHARMD
• Mary Susan Thuillard
• Wade Troyer, DDS
• Eleonor Vanover, NP-C
• Amanda Venters
• Waggoner & Waggoner DC LLC
• Chase Daniel Waggoner, D.C.
• Oliver Yuchong Wang, DDS
• Michelle Elaine Watson, COTA
• Ricky Lee Weidow, O.D.

• Social Worker in Lagrange, IN
• Providers in Lagrange, IN by specialty
• Social Worker 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.