NPIMap

Organization Active NPI

Sycamore Rehabilitation Services-Hcarc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Evansville, IN
National Provider Identifier
1508994153
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
SYCAMORE REHABILITATION SERVICES-HCARC
Practice address
1100 W Lloyd Expy
Evansville, IN 47708-1146
Phone
(812) 421-0847
Fax
(812) 421-0849
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Patrick Cockrum
Title
Ceo
Phone
(317) 745-4715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

1100 W Lloyd Expy
Evansville, IN 47708-1146

Mailing address

1100 W Lloyd Expy
Evansville, IN 47708-1146
Phone (812) 421-0847

Other names 1

  • Sycamore Services, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sycamore Services Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508994153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W LLOYD EXPY",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081146",
            "telephone_number": "812-421-0847",
            "fax_number": "812-421-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W LLOYD EXPY",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081146",
            "telephone_number": "812-421-0847",
            "fax_number": "812-421-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE REHABILITATION SERVICES-HCARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COCKRUM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-745-4715",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sycamore Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; 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.