Organization 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
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CASTLETON UNITED METHODIST CHURCH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201037840AMedicaidIN

Other names 1

  • Still Waters Adult Day Center Doing business as

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.

Verify at the official NPI Registry.