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Normal Life of Indiana

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Boonville, IN

NPI 1396863643 · NPPES record last updated Jul 22, 2026

Key facts

NPI
1396863643
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
Legal business name
NORMAL LIFE OF INDIANA
Practice address
118 N 1St St
Boonville, IN 47601-1536
Phone
(812) 433-3535
NPI assigned
Mar 26, 2007
Organization subpart
No

Authorized official

Name
Mary Patricia Rodenberg-Roberts
Title
Chief Regulatory Officer Sr Asst GC
Phone
(952) 836-2234

Corporate family (same tax ID) 49

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

View all 49

National Provider Directory

Tax ID family
Normal Life of Indiana (50 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

118 N 1St St
Boonville, IN 47601-1536

Mailing address

6600 France Ave S Ste 350
Edina, MN 55435-1810
Phone (800) 388-5150

Other identifiers

IdentifierTypeStateIssuer
100234020AMedicaidIN

Other names

  • Boonville I Other name

Other providers in Boonville, IN

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

Sources for this page

Verify at the official NPI Registry.