Carver Community Organization, Inc.

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

CARVER COMMUNITY ORGANIZATION, INC.

Practice address

504 SE 8TH St
Evansville, IN 47713-1743

Phone

(812) 423-2612

Fax

(812) 423-6941

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Wagner

Title

Executive Director

Phone

(812) 423-2612

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386715597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 SE 8TH ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131743",
            "telephone_number": "812-423-2612",
            "fax_number": "812-423-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 SE 8TH ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131743",
            "telephone_number": "812-423-2612",
            "fax_number": "812-423-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARVER COMMUNITY ORGANIZATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-423-2612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kourtnee Elizabeth Carter
• Makenzie Carter, BCBA
• Matthew Cartwright
• Paul Warner Cartwright, MD
• Jennifer Caruana, MSW, LCSW
• Lisa Carwile, PMHNP - BC
• Alyssa Mae Casciotta, PSYD
• Tara Case, RBT
• W Philip R Casino, MD
• Nicholas Alan Cassin, LCSW

• Respite Care in Evansville, IN
• Providers in Evansville, IN by specialty
• Respite Care in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.