Tip Toe Inn

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TIP TOE INN

Practice address

839 Broadway # 104
Gary, IN 46402-2414

Phone

(773) 419-1526

Fax

(219) 882-0210

NPI assigned

Apr 19, 2013

Organization subpart

No

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

Authorized official

Name

Wanda Hargrave

Title

Ceo

Phone

(773) 419-1526

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1720422827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 BROADWAY # 104",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464022414",
            "telephone_number": "773-419-1526",
            "fax_number": "219-882-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 BROADWAY # 104",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464022414",
            "telephone_number": "773-419-1526",
            "fax_number": "219-882-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIP TOE INN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "HARGRAVE",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-419-1526"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Gary, IN
• Providers in Gary, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.