Catholic Charities Indpls, Inc

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

CATHOLIC CHARITIES INDPLS, INC

Practice address

4609 N. Capital Ave
Indianapolis, IN 46208

Phone

(317) 466-0015

Fax

(317) 261-3375

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

David J Bethuram

Title

Executive Director

Phone

(317) 236-1530

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• A Caring Place Doing business as
• Adult Day Services Other name

Tax ID family

A Caring Place2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Catholic Charities Indianapolis

  • Counselor
  • Indianapolis, IN
  • NPI 1629463906
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig W. Fall, LMFT, LCSW

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1750500948
  NPD
• Hailey Taylor Rhodes

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1962018705
  NPD
• Heidi Susanna Smith, LMHCA

  • Mental Health Counselor
  • Seymour, IN
  • NPI 1548079510
  NPD
• Kathleen Amelia Smith, LMHCA

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1811594625
  NPD
• Kate A. Pedersen, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1215391446
  NPD (past)
• Sheila M Shine, ACSW, LCSW

  • Marriage & Family Therapist
  • Indianapolis, IN
  • NPI 1083833263
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1629136924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N MERIDIAN ST.",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022305",
            "telephone_number": "317-466-0015",
            "fax_number": "317-261-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 N. CAPITAL AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46208",
            "telephone_number": "317-466-0015",
            "fax_number": "317-261-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES INDPLS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "BETHURAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-236-1530"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200068110B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200068100A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Caring Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adult Day Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Adult Day Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tesha L Cates
• Catherine Rose Home Care Agency
• Catherine Rose Home Health Agency
• Latoya Cathey
• Catholic Charities Indianapolis
• Cathy Yoder MD, LLC
• Lannie James Cation, MD
• Heather Marie Catlett
• Kimberly S Catlett
• Andrew Catlin

• Respite Care in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Respite Care in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.