Summit BHC Henryville, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SUMMIT BHC HENRYVILLE, LLC

Practice address

1400 E Crossing Blvd
Terre Haute, IN 47802-5316

Phone

(812) 898-5100

Fax

(812) 898-5150

NPI assigned

Apr 3, 2019

Organization subpart

No

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

Authorized official

Name

James Stephen Hinkle

Title

General Counsel & Secretary

Phone

(615) 637-7218

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Anabranch Recovery Center Doing business as
• Wooded Glen Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1679035232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CORPORATE CENTRE DR STE 600",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672784",
            "telephone_number": "615-637-7218",
            "fax_number": "629-899-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E CROSSING BLVD",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025316",
            "telephone_number": "812-898-5100",
            "fax_number": "812-898-5150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Wabash Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478031678",
            "country_code": "US",
            "telephone_number": "888-909-2415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 East Highway 62 Building 2501",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "47130",
            "country_code": "US",
            "telephone_number": "888-351-0650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2602 Hebron Church Rd",
            "address_purpose": "LOCATION",
            "city": "Henryville",
            "state": "IN",
            "postal_code": "471269021",
            "country_code": "US",
            "telephone_number": "877-294-3770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT BHC HENRYVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "GENERAL COUNSEL & SECRETARY",
        "authorized_official_telephone_number": "615-637-7218"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300052718",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300035047",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anabranch Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wooded Glen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Terre Haute, IN
• Substance Abuse Rehabilitation Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.