Organization Active NPI

Secure Care of Indiana

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Evansville, IN
National Provider Identifier
1639509623
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SECURE CARE OF INDIANA
Practice address
427 S Spring St
Evansville, IN 47714-1550
Phone
(812) 477-9053
Fax
(812) 477-4127
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Ms. Alice SobotkaNPI 1346316890
Title
Owner/Ceo
Phone
(812) 477-9053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

427 S Spring St
Evansville, IN 47714-1550

Mailing address

427 S Spring St
Evansville, IN 47714-1550
Phone (812) 477-9053

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1639509623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S SPRING ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477141550",
            "telephone_number": "812-477-9053",
            "fax_number": "812-477-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S SPRING ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477141550",
            "telephone_number": "812-477-9053",
            "fax_number": "812-477-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE CARE OF INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "SOBOTKA",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "812-477-9053",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 13, 2013; 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.