NPIMap

Organization Active NPI

Wabash Center, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Lafayette, IN
National Provider Identifier
1659595411
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
WABASH CENTER, INC.
Practice address
744 S 26TH St
Lafayette, IN 47904-3360
Phone
(765) 447-4576
NPI assigned
Apr 12, 2007
Last updated
Mar 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

744 S 26TH St
Lafayette, IN 47904-3360

Mailing address

PO Box 6449
Lafayette, IN 47903-6449
Phone (765) 423-5531

Other identifiers 1

IdentifierTypeStateIssuer
100235370AMedicaidIN

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1659595411",
    "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": "744 S 26TH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043360",
            "telephone_number": "765-447-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100235370A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • 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.