NPIMap

Organization Active NPI

Voca of Indiana LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Columbia City, IN
National Provider Identifier
1699893750
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
VOCA OF INDIANA LLC
Practice address
395 Westchester Dr
Columbia City, IN 46725-7432
Phone
(812) 273-0523
NPI assigned
Mar 27, 2007
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Denisha Connor
Title
Provider Enrollment Manager
Phone
(502) 630-7421

Specialties & licenses 1

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

Addresses

Primary practice location

395 Westchester Dr
Columbia City, IN 46725-7432

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-7101
Phone (800) 866-0860

Other identifiers 1

IdentifierTypeStateIssuer
100243260BMedicaidIN

Other names 1

  • Westchester Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699893750. Details of each certification follow.

  • CCN 15G212 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 15G212

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
VOCA CORPORATION OF INDIANA
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Nov 12, 1985
Last certification
Feb 24, 2025
Beds
8
Ownership / control type
Private (proprietary)
Facility address
395 N Westchester Dr
Columbia City, IN 46725

National Provider Directory

National Provider Directory
Tax ID family
Voca of Indiana LLC31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1699893750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227101",
            "telephone_number": "800-866-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 WESTCHESTER DR",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467257432",
            "telephone_number": "812-273-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOCA OF INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "DENISHA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "502-630-7421"
    },
    "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": "100243260B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westchester",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia City, IN

Sources for this page

Verify at the official NPI Registry.