NPIMap

Organization Active NPI

Wabash Valley Safekeepers LLC

  • In Home Supportive Care Agency
  • Terre Haute, IN
National Provider Identifier
1417320359
Registry record updated Oct 31, 2015
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Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15-013-747-1 Issued in IN
Legal business name
WABASH VALLEY SAFEKEEPERS LLC
Practice address
4270 Carriage LN
Terre Haute, IN 47805-8628
Phone
(812) 201-4542
Fax
(812) 917-2870
NPI assigned
Oct 31, 2015
Last updated
Oct 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2015

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

Authorized official

Name
Mr. Preston James Bowman
Title
Chief Executive Officer
Phone
(812) 201-4239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 15-013-747-1 IN Primary

Addresses

Primary practice location

4270 Carriage LN
Terre Haute, IN 47805-8628

Mailing address

4270 Carriage LN
Terre Haute, IN 47805-8628
Phone (812) 201-4542

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446249600000",
    "number": "1417320359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 CARRIAGE LN",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478058628",
            "telephone_number": "812-201-4542",
            "fax_number": "812-917-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 CARRIAGE LN",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478058628",
            "telephone_number": "812-201-4542",
            "fax_number": "812-917-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH VALLEY SAFEKEEPERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-31",
        "last_updated": "2015-10-31",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "812-201-4239",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "15-013-747-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2015; 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.