NPIMap

Organization Active NPI

Procare Healthspot, LLC

  • Multi-Specialty Clinic/Center
  • Rockport, IN
National Provider Identifier
1336695576
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PROCARE HEALTHSPOT, LLC
Practice address
3434 W State Road 66
Rockport, IN 47635
Phone
(812) 491-3856
NPI assigned
Aug 28, 2016
Last updated
Aug 13, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PROGRESSIVEHEALTH OF INDIANA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Keith Bersch
Title
Manager
Phone
(812) 491-3856

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

3434 W State Road 66
Rockport, IN 47635

Mailing address

3434 W State Road 66
Rockport, IN 47635

Other practice location 1

4949 Healthy Way
Evansville, IN 47715-1180
Phone (812) 777-4529

Other practice location 2

8788 Ruffian Ln
Newburgh, IN 47630-3405
Phone (812) 777-4532

Other practice location 3

150 N Rosenberger Ave
Evansville, IN 47712-6503
Phone (812) 303-0509

Other practice location 4

1 N Main St
Evansville, IN 47711-5446
Phone (812) 491-5057

National Provider Directory

National Provider Directory
Tax ID family
Procare Healthspot LLC6 organizations share this tax ID, including this one
Part of
Progressivehealth of Indiana LLC

Other organizations with this tax ID 5

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

Locations

4949 Healthy Way
Evansville, IN 47715
Phone (812) 777-4529

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1336695576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 W STATE ROAD 66",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "47635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 W STATE ROAD 66",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "47635",
            "telephone_number": "812-491-3856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4949 Healthy Way",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477151180",
            "country_code": "US",
            "telephone_number": "812-777-4529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8788 Ruffian Ln",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476303405",
            "country_code": "US",
            "telephone_number": "812-777-4532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 N Rosenberger Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477126503",
            "country_code": "US",
            "telephone_number": "812-303-0509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 N Main St",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477115446",
            "country_code": "US",
            "telephone_number": "812-491-5057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROCARE HEALTHSPOT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVEHEALTH OF INDIANA, LLC",
        "enumeration_date": "2016-08-28",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "BERSCH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "812-491-3856"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.