Cardinal Center, Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Plymouth, IN
NPI 1356410153 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1356410153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- License
- 2625B0011JN08 (IN)
- Legal business name
- CARDINAL CENTER, INC.
- Practice address
- 617 Loon CT
Plymouth, IN 46563-3162 - Phone
- (574) 267-3823
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. N. Jane Greene
- Title
- President Ceo
- Phone
- (574) 267-3823
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Cardinal Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 2625B0011JN08 | IN | Yes |
Addresses
Primary practice location
617 Loon CT
Plymouth, IN 46563-3162
Mailing address
504 N Bay Dr
Warsaw, IN 46580-4627
Phone (574) 267-3823
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- Carrie Ann Cadwell
- Dawn Campbell
- Geri Carlson
- Carmien & Pedavoli Family Dentistry, LLC
- Matthew Steven Carmien
- Charlie J Celadina II
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All providers in Plymouth, IN · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.