Indiana Center for Recovery Bedford

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

INDIANA CENTER FOR RECOVERY BEDFORD

Practice address

1600 23Rd St
Bedford, IN 47421-4704

Phone

(561) 635-2400

NPI assigned

May 6, 2024

Last updated

Feb 14, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

INDIANA CENTER FOR RECOVERY INDIANAPOLISAs reported in NPPES

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

Authorized official

Name

Kirill Vesselov

Title

President

Phone

(812) 606-2216

Specialties & licenses 2

Addresses

Tax ID family

Indiana Center for Recovery Bedford2 organizations share this tax ID, including this one

Part of

Indiana Center for Recovery Bedford

Other organizations with this tax ID 1

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

• Indiana Center for Recovery Indianapolis

  • Substance Abuse Rehabilitation Facility
  • Indianapolis, IN
  • NPI 1982327029
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Indiana Center for Recovery Indianapolis

  • Substance Abuse Rehabilitation Facility
  • Indianapolis, IN
  • NPI 1982327029
  NPPES parent name

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1477300465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 10TH AVE N",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 23RD ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214704",
            "telephone_number": "561-635-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA CENTER FOR RECOVERY BEDFORD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIANA CENTER FOR RECOVERY INDIANAPOLIS",
        "enumeration_date": "2024-05-06",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "VESSELOV",
        "authorized_official_first_name": "KIRILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-606-2216"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Hurd, NP
• Tassawar Hussain, MD
• Dallyce A Hyatt, RBT
• Sundus Imran, MD
• Indian Creek Township Volunteer Fire Department
• Indiana Community Health Medical Center, Inc.
• Indiana Emergency Physicians LLP
• Indiana Health Centers Inc (IHC Bedford)
• Indiana University Health Bedford, Inc (IU Health Bedford Hospital)
• Indiana University Health Bedford, Inc

• Substance Abuse Rehabilitation Facility in Bedford, IN
• Providers in Bedford, IN by specialty
• Substance Abuse Rehabilitation Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.