Organization Active NPI

Evansville Arc, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Evansville, IN
National Provider Identifier
1740318468
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
EVANSVILLE ARC, INC.
Practice address
615 W Virginia St
Evansville, IN 47710-1615
Phone
(812) 428-4500
Fax
(812) 421-8537
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Deidra Conner
Title
President
Phone
(812) 428-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

615 W Virginia St
Evansville, IN 47710-1615

Mailing address

PO Box 4089
Evansville, IN 47724-0089
Phone (812) 428-4500

National Provider Directory

National Provider Directory

Locations

615 W Virginia St
Evansville, IN 47710
Phone (812) 428-4500

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740318468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4089",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477240089",
            "telephone_number": "812-428-4500",
            "fax_number": "812-421-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W VIRGINIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101615",
            "telephone_number": "812-428-4500",
            "fax_number": "812-421-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSVILLE ARC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "DEIDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-428-4500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.