Active NPI
Wernle Youth & Family Treatment Center
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Richmond, IN
National Provider Identifier
1336454552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 510144198 73834
- Legal business name
- WERNLE YOUTH & FAMILY TREATMENT CENTER
- Practice address
- 2000 Wernle Rd
Richmond, IN 47374-7015 - Phone
- (765) 999-2506
- NPI assigned
- Aug 12, 2010
- 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
- Mr. Darrell Gordon, MSA, JD, CFRM
- Title
- Ceo
- Phone
- (765) 939-4552
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 510144198 73834 | IN | Primary |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 525549198 73847 | IN |
Addresses
Primary practice location
2000 Wernle Rd
Richmond, IN 47374-7015
Mailing address
2000 Wernle Rd
P.O. Box 1386
Richmond, IN 47374-7015
Phone (765) 999-2506
National Provider Directory
National Provider Directory- Tax ID family
- Wernle Children's Home Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Wernle Youth & Family Treatment Center, Inc.
- Mental Illness Community Based Residential Treatment Facility
- Richmond, IN
- NPI 1427257328
Locations
2000 Wernle Rd
Richmond, IN 47374
Phone (317) 813-4690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281571200000",
"number": "1336454552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 WERNLE RD",
"address_2": "P.O. BOX 1386",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473747015",
"telephone_number": "765-999-2506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 WERNLE RD",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473747015",
"telephone_number": "765-999-2506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WERNLE YOUTH & FAMILY TREATMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-12",
"last_updated": "2010-08-12",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "DARRELL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "765-939-4552",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSA, JD, CFRM"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "IN",
"license": "510144198 73834",
"primary": true
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "IN",
"license": "525549198 73847",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.