Organization Active NPI

Achieving Smiles Waiver Services Inc

  • Child Physical Disabilities Respite Care
  • Evansville, IN
National Provider Identifier
1508584335
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Physical Disabilities Respite CareTaxonomy code 385HR2065X
Legal business name
ACHIEVING SMILES WAIVER SERVICES INC
Practice address
811 Ridgeway Ave
Evansville, IN 47713-2827
Phone
(812) 746-6923
NPI assigned
Aug 18, 2022
Last updated
Aug 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Michael Allen Copeland
Title
Ceo
Phone
(812) 746-6923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Physical Disabilities Respite Care 385HR2065X Primary

Addresses

Primary practice location

811 Ridgeway Ave
Evansville, IN 47713-2827

Mailing address

811 Ridgeway Ave
Evansville, IN 47713-2827
Phone (812) 746-6923

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ACHIEVINGSMILESWAIVER@ASTOUND.COM

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: achievingsmileswaiver@astound.com

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1508584335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 RIDGEWAY AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132827",
            "telephone_number": "812-746-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 RIDGEWAY AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132827",
            "telephone_number": "812-746-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVING SMILES WAIVER SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-746-6923"
    },
    "taxonomies": [
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ACHIEVINGSMILESWAIVER@ASTOUND.COM",
            "affiliation": "N",
            "address_1": "811 Ridgeway Ave",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477132827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.