Active NPI
Castleton United Methodist Church, Inc.
Doing business as Still Waters Adult Day Center
- Adult Day Care Clinic/Center
- Indianapolis, IN
National Provider Identifier
1558912436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- CASTLETON UNITED METHODIST CHURCH, INC.
- Doing business as
- Still Waters Adult Day Center
- Practice address
- 7160 Shadeland Sta
Indianapolis, IN 46256-3915 - Phone
- (317) 284-0837
- NPI assigned
- Sep 23, 2019
- Last updated
- Sep 23, 2019
- Organization subpart
- Yes
- Parent organization
- CASTLETON UNITED METHODIST CHURCH, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Katherine Pellman
- Title
- Director
- Phone
- (317) 284-0837
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | NU | Primary |
Addresses
Primary practice location
7160 Shadeland Sta
Indianapolis, IN 46256-3915
Mailing address
7160 Shadeland Sta
Indianapolis, IN 46256-3915
Phone (317) 284-0837
Other practice location 1
8100 E 16th St
Indianapolis, IN 46219-2801
Phone (317) 820-3233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201037840A | Medicaid | IN |
Other names 1
- Still Waters Adult Day Center
National Provider Directory
National Provider Directory- Part of
- Castleton United Methodist Church Inc
Locations
7160 Shadeland Sta
Indianapolis, IN 46256
Phone (317) 284-0837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569196800000",
"number": "1558912436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7160 SHADELAND STA",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462563915",
"telephone_number": "317-284-0837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7160 SHADELAND STA",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462563915",
"telephone_number": "317-284-0837"
}
],
"practiceLocations": [
{
"address_1": "8100 E 16th St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462192801",
"country_code": "US",
"telephone_number": "317-820-3233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CASTLETON UNITED METHODIST CHURCH, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CASTLETON UNITED METHODIST CHURCH, INC.",
"enumeration_date": "2019-09-23",
"last_updated": "2019-09-23",
"status": "A",
"authorized_official_last_name": "PELLMAN",
"authorized_official_first_name": "KATHERINE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "317-284-0837",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201037840A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Still Waters Adult Day Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.