Organization Active NPI

We Are the Village Inc.

  • Community Health Clinic/Center
  • Gary, IN
National Provider Identifier
1710599154
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
WE ARE THE VILLAGE INC.
Practice address
4030 W 5TH Ave
Gary, IN 46406-1740
Phone
(219) 777-8170
NPI assigned
Aug 18, 2020
Last updated
Jul 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Jaunesia DavisNPI 1346921830
Title
Founder
Phone
(219) 512-0175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU
Community Health Clinic/Center 261QC1500X NU Primary
Developmental Disabilities Clinic/Center 261QD1600X NU
Child Physical Disabilities Respite Care 385HR2065X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

4030 W 5TH Ave
Gary, IN 46406-1740

Mailing address

623 Washington St
Gary, IN 46402-2401
Phone (219) 512-0175

Other practice location 1

623 Washington St
Gary, IN 46402-2401
Phone (219) 512-0175

National Provider Directory

National Provider Directory

Locations

4030 W 5th Ave
Gary, IN 46406
Phone (219) 512-0175

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1710599154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 WASHINGTON ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464022401",
            "telephone_number": "219-512-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 W 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464061740",
            "telephone_number": "219-777-8170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "623 Washington St",
            "address_purpose": "LOCATION",
            "city": "Gary",
            "state": "IN",
            "postal_code": "464022401",
            "country_code": "US",
            "telephone_number": "219-512-0175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WE ARE THE VILLAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAUNESIA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "219-512-0175"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.