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Voca of Indiana LLC

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · North Vernon, IN

NPI 1386762011 · NPPES record last updated Nov 18, 2024

Key facts

NPI
1386762011
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
Legal business name
VOCA OF INDIANA LLC
Practice address
153 White Oak Way
North Vernon, IN 47265-8742
Phone
(812) 273-0523
NPI assigned
Mar 27, 2007
Organization subpart
No

Authorized official

Name
Denisha Connor
Title
Provider Enrollment
Phone
(502) 630-7421

Corporate family (same tax ID) 30

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

View all 30

National Provider Directory

Tax ID family
Voca of Indiana LLC (31 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Yes

Addresses

Primary practice location

153 White Oak Way
North Vernon, IN 47265-8742

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-7101
Phone (800) 866-0860

Other identifiers

IdentifierTypeStateIssuer
100240180BMedicaidIN

Other names

  • COUNTRY SQUIRE Other name

Other providers in North Vernon, IN

All providers in North Vernon, IN · Intellectual Disabilities Intermediate Care Facility in Indiana

Sources for this page

Verify at the official NPI Registry.