Wabash Center, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

WABASH CENTER, INC.

Practice address

411 Park Ave
Lafayette, IN 47904-3233

Phone

(765) 449-1139

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Moreland

Title

Chro

Phone

(765) 423-5531

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Wabash Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Wabash Center, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Lafayette, IN
  • NPI 1043434806
  NPD tax ID
• Wabash Center, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Lafayette, IN
  • NPI 1659595411
  NPD tax ID
• Wabash Center, Inc.

  • Behavior Analyst
  • Lafayette, IN
  • NPI 1669174132
  NPD tax ID
• Wabash Center, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Lafayette, IN
  • NPI 1811074966
  NPD tax ID

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1609090067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6449",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479036449",
            "telephone_number": "765-423-5531",
            "fax_number": "765-423-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 PARK AVE",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043233",
            "telephone_number": "765-449-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "MORELAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHRO",
        "authorized_official_telephone_number": "765-423-5531"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100235320 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corry Lynn Voll, OTR
• Carley E Voor, DPT
• Joshua Voth, ATC, CMT
• Hannah Ruth Vyain, PHARMD, RPH
• Wabash Center, Inc.
• Wabash Center, Inc.
• Wabash Center, Inc.
• Wabash Center, Inc.
• Jacob Wade, NP
• Brandon James Wagner, DC

• Intellectual Disabilities Intermediate Care Facility in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Intellectual Disabilities Intermediate Care Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.