Hickory House Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1763-0-ASR Issued in IN

Legal business name

HICKORY HOUSE RECOVERY LLC

Practice address

5486 W. US Hwy 40
Greenfield, IN 46140-8830

Phone

(317) 434-5375

Fax

(317) 434-5378

NPI assigned

Feb 2, 2017

Last updated

Nov 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Theresa Kennedy Patton

Title

Director

Phone

(317) 434-5375

Specialties & licenses 1

Addresses

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Bailey Jones III, M.D.

  • Psychosomatic Medicine Physician
  • Carmel, IN
  • NPI 1184832933
  NPD (past)
• Paul Vernon Runyan Jr., LMHCA

  • Mental Health Counselor
  • Greenfield, IN
  • NPI 1598319048
  NPD (past)

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1699213306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5486 W. US HWY 40",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461408830",
            "telephone_number": "317-434-5375",
            "fax_number": "317-434-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5486 W. US HWY 40",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461408830",
            "telephone_number": "317-434-5375",
            "fax_number": "317-434-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY HOUSE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "KENNEDY PATTON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-434-5375",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IN",
            "license": "1763-0-ASR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kaye Heim, NP
• Jeffrey A. Heise, MD
• Hendricks County Hospital ('Brickyard Healthcare - Brandywine Care Center ')
• Henry County Memorial Hospital (Hancock Orthopedics)
• Carrie J Heuck, NP
• Angela Sue Hiller, FNP-C
• Stephanie Hillers, RN, MSN, AGPCNP-BC
• Melissa Himelick
• Timothy Hirons, OTR
• Mia Hirschy, RPH

• Substance Abuse Rehabilitation Facility in Greenfield, IN
• Providers in Greenfield, IN by specialty
• Substance Abuse Rehabilitation Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.