Organization Active NPI

Wernle Youth & Family Treatment Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Richmond, IN
National Provider Identifier
1336454552
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
510144198 73834 Issued in IN
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

Updated by the provider on Aug 12, 2010

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)CodeLicenseStatePrimary
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.