NPIMap

Organization Active NPI

Hoosier Uplands Economic Development Corporation

Doing business as Serenity Now Psychiatric & Counseling Services

  • Adult Mental Health Clinic/Center
  • Bedford, IN
National Provider Identifier
1376813147
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HOOSIER UPLANDS ECONOMIC DEVELOPMENT CORPORATION
Doing business as
Serenity Now Psychiatric & Counseling Services
Practice address
2125 16TH St
Bedford, IN 47421-3003
Phone
(812) 275-4053
NPI assigned
Jan 10, 2012
Last updated
Jan 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Mr. David L. Miller
Title
Ceo
Phone
(812) 849-4447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2125 16TH St
Bedford, IN 47421-3003

Mailing address

2125 16TH St
Bedford, IN 47421-3003
Phone (812) 275-4053

Other names 1

  • Serenity Now Psychiatric & Counseling Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120222000487 IN Part B Supplier - Clinic/Group Practice 4082767496 Receives reassigned benefits from 6 practitioners
Practice locations: Bedford, IN

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hoosier Uplands Corporation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2125 16th St
Bedford, IN 47421
Phone (812) 275-4053

500 W Main St
Mitchell, IN 47446
Phone (812) 849-4447

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hoosier Uplands Home Health CareMitchell, IN, CCN 157051 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 10, 2009
Feb 13, 1980
Hoosier Uplands HospiceMitchell, IN, CCN 151556 Hospice Operational/Managerial Control Jun 10, 2009

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1376813147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 16TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213003",
            "telephone_number": "812-275-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 16TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213003",
            "telephone_number": "812-275-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER UPLANDS ECONOMIC DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-849-4447",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Now Psychiatric & Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.