NPIMap

Organization Active NPI

Blue River Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Corydon, IN
National Provider Identifier
1750404992
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
BLUE RIVER SERVICES, INC.
Practice address
1365 Old Hwy 135 NW
Corydon, IN 47112-0547
Phone
(812) 738-2408
Fax
(812) 738-6281
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Authorized official

Name
Daniel J Lowe
Title
President Ceo
Phone
(812) 738-2408

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X IN Primary
Community/Behavioral Health Agency 251S00000X IN

Addresses

Primary practice location

1365 Old Hwy 135 NW
Corydon, IN 47112-0547

Mailing address

P.O. Box 547
1365 Old Hwy 135 NW
Corydon, IN 47112-0547
Phone (812) 738-2408

Other identifiers 1

IdentifierTypeStateIssuer
201035740 AMedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Blue River Services Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1750404992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 547",
            "address_2": "1365 OLD HWY 135 NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471120547",
            "telephone_number": "812-738-2408",
            "fax_number": "812-738-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 OLD HWY 135 NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471120547",
            "telephone_number": "812-738-2408",
            "fax_number": "812-738-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIVER SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "812-738-2408"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201035740 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.