NPIMap

Organization Active NPI

Stone Belt Arc, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Bloomington, IN
National Provider Identifier
1376604470
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
2632S0010JN06 Issued in IN
Legal business name
STONE BELT ARC, INC.
Practice address
1835 S Maxwell St
Bloomington, IN 47401-6706
Phone
(812) 332-7247
NPI assigned
Dec 12, 2006
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 2632S0010JN06 IN Primary

Addresses

Primary practice location

1835 S Maxwell St
Bloomington, IN 47401-6706

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

Intermediate care facility for individuals with intellectual disabilities certification: CCN 15G374

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
Oct 26, 1987
Last certification
Jun 26, 2025
Beds
6
Ownership / control type
Private (non-profit)
Most recent change of ownership
Aug 31, 2020
Facility address
1835 Maxwell St
Bloomington, IN 47401

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376604470",
    "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": "1835 S MAXWELL ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474016706",
            "telephone_number": "812-332-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE BELT ARC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "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": "2632S0010JN06",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.