NPIMap

Organization Active NPI

Stone Belt Arc, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Bedford, IN
National Provider Identifier
1376603696
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
2632B0014JN06 Issued in IN
Legal business name
STONE BELT ARC, INC.
Practice address
2228 35TH St
Bedford, IN 47421-5517
Phone
(812) 275-4982
NPI assigned
Dec 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Leslie Green
Title
Ceo
Phone
(812) 332-2168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 2632B0014JN06 IN Primary

Addresses

Primary practice location

2228 35TH St
Bedford, IN 47421-5517

Mailing address

2815 E 10TH St
Bloomington, IN 47408-2601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376603696. Details of each certification follow.

  • CCN 15G650 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 15G650

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
STONE BELT ARC INC
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 4, 1993
Last certification
Mar 17, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
2228 35TH St
Bedford, IN 47421

National Provider Directory

National Provider Directory
Tax ID family
Stone Belt Arc Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376603696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 E 10TH ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474082601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 35TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215517",
            "telephone_number": "812-275-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE BELT ARC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-332-2168"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IN",
            "license": "2632B0014JN06",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.