Active NPI
Kor Transitional Housing
- Rehabilitation Hospital Unit
- Indianapolis, IN
National Provider Identifier
1174387617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- Legal business name
- KOR TRANSITIONAL HOUSING
- Practice address
- 3640 E Fall Creek Parkway North Dr
Indianapolis, IN 46205-3674 - Phone
- (260) 615-0622
- Fax
- (800) 238-0772
- NPI assigned
- Feb 6, 2024
- Last updated
- Feb 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Washington
- Title
- Founder/Ceo
- Phone
- (260) 615-0622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | Primary |
Addresses
Primary practice location
3640 E Fall Creek Parkway North Dr
Indianapolis, IN 46205-3674
Mailing address
1626 Sturm Ave
Indianapolis, IN 46201-3037
Phone (260) 615-0622
Other practice location 1
1628 Sturm Ave
Indianapolis, IN 46201-3037
Phone (260) 615-0622
Other practice location 2
1522 Sturm Ave
Indianapolis, IN 46201-3035
Phone (260) 616-0622
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1174387617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 STURM AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462013037",
"telephone_number": "260-615-0622",
"fax_number": "800-238-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 E FALL CREEK PARKWAY NORTH DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462053674",
"telephone_number": "260-615-0622",
"fax_number": "800-238-0772"
}
],
"practiceLocations": [
{
"address_1": "1628 Sturm Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462013037",
"country_code": "US",
"telephone_number": "260-615-0622",
"fax_number": "800-238-0772",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1522 Sturm Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462013035",
"country_code": "US",
"telephone_number": "260-616-0622",
"fax_number": "800-238-0772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KOR TRANSITIONAL HOUSING",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "WASHINGTON",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "FOUNDER/CEO",
"authorized_official_telephone_number": "260-615-0622"
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.