Organization Active NPI

Villages of Indiana, Inc

  • Foster Care Agency
  • Kokomo, IN
National Provider Identifier
1689849283
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
50305 49WW Issued in IN
Legal business name
VILLAGES OF INDIANA, INC
Practice address
612 E Boulevard
Kokomo, IN 46902-2271
Phone
(765) 455-8545
Fax
(765) 455-8552
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Mrs. Kimberly J Davis
Title
Compiance Manager
Phone
(812) 332-1245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 50305 49WW IN Primary

Addresses

Primary practice location

612 E Boulevard
Kokomo, IN 46902-2271

Mailing address

2405 N Smith Pike
Bloomington, IN 47404-1363
Phone (812) 332-1245

Other identifiers 1

IdentifierTypeStateIssuer
200888990 AMedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
The Villages2 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.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1689849283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 N SMITH PIKE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474041363",
            "telephone_number": "812-332-1245",
            "fax_number": "812-333-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E BOULEVARD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022271",
            "telephone_number": "765-455-8545",
            "fax_number": "765-455-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGES OF INDIANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COMPIANCE MANAGER",
        "authorized_official_telephone_number": "812-332-1245",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "IN",
            "license": "50305 49WW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200888990 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.