Wabash Area Vocational Enterprises, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

WABASH AREA VOCATIONAL ENTERPRISES, INC.

Practice address

1420 West Third Street
Mt. Carmel, IL 62863

Phone

(618) 262-8614

NPI assigned

Jul 6, 2007

Last updated

Jun 18, 2015By 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

David M Roberts

Title

Chief Executive Officer

Phone

(618) 262-8614

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1740488139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 WEST THIRD STREET",
            "city": "MT. CARMEL",
            "state": "IL",
            "postal_code": "62863",
            "telephone_number": "618-262-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 WEST THIRD STREET",
            "city": "MT. CARMEL",
            "state": "IL",
            "postal_code": "62863",
            "telephone_number": "618-262-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH AREA VOCATIONAL ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "618-262-8614"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.