NPIMap

Organization Active NPI

Blue River Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Corydon, IN
National Provider Identifier
1497978746
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
BLUE RIVER SERVICES, INC.
Practice address
293 Summit View Dr
Corydon, IN 47112-2131
Phone
(812) 738-2408
NPI assigned
Apr 11, 2007
Last updated
Jun 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Daniel J Lowe
Title
President Ceo
Phone
(812) 738-2408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X IN Primary

Addresses

Primary practice location

293 Summit View Dr
Corydon, IN 47112-2131

Mailing address

PO Box 547
Corydon, IN 47112-0547
Phone (812) 738-2408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497978746. Details of each certification follow.

  • CCN 15G503 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 15G503

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BLUE RIVER SERVICES INC
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Sep 8, 1989
Last certification
Oct 24, 2025
Beds
8
Ownership / control type
Private (non-profit)
Facility address
293 Summit View Drive
Corydon, IN 47112

National Provider Directory

National Provider Directory
Tax ID family
Blue River Services Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1497978746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471120547",
            "telephone_number": "812-738-2408",
            "fax_number": "812-738-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 SUMMIT VIEW DR",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122131",
            "telephone_number": "812-738-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIVER SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT  CEO",
        "authorized_official_telephone_number": "812-738-2408"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

Verify at the official NPI Registry.