Organization Active NPI

The Arc Northwest Indiana

  • Intellectual Disabilities Intermediate Care Facility
  • Griffith, IN
National Provider Identifier
1245595693
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
THE ARC NORTHWEST INDIANA
Practice address
1441 N Woodlawn Ave
Griffith, IN 46319-1555
Phone
(219) 884-1138
Fax
(219) 980-7315
NPI assigned
Jul 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Ms. Kris Prohl
Title
Executive Director
Phone
(219) 884-1138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

1441 N Woodlawn Ave
Griffith, IN 46319-1555

Mailing address

2650 W 35TH Ave
Gary, IN 46408-1416
Phone (219) 884-1138

National Provider Directory

National Provider Directory
Tax ID family
Arc Bridges Inc33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1245595693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 W 35TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464081416",
            "telephone_number": "219-884-1138",
            "fax_number": "219-980-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N WOODLAWN AVE",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463191555",
            "telephone_number": "219-884-1138",
            "fax_number": "219-980-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC NORTHWEST INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "PROHL",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "219-884-1138",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffith, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.