NPIMap

Organization Active NPI

Tradewinds Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Merrillville, IN
National Provider Identifier
1780778266
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
TRADEWINDS SERVICES, INC.
Practice address
3198 E 83Rd PL
Merrillville, IN 46410-6418
Phone
(219) 945-0100
Fax
(219) 940-3369
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Mr. Jon Gold
Title
Chief Executive Officer
Phone
(219) 945-0100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 31000137A IN
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 22003978A IN
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

3198 E 83Rd PL
Merrillville, IN 46410-6418

Mailing address

3198 E 83Rd PL
Merrillville, IN 46410-6418
Phone (219) 945-0100

Other identifiers 7

IdentifierTypeStateIssuer
200714400MedicaidIN
100243200MedicaidIN
100248690MedicaidIN
100249270MedicaidIN
100229500MedicaidIN
100243530MedicaidIN
200059730MedicaidIN

National Provider Directory

National Provider Directory

Locations

3198 E 83rd Pl
Merrillville, IN 46410
Phone (219) 945-0100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1780778266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3198 E 83RD PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106418",
            "telephone_number": "219-945-0100",
            "fax_number": "219-940-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3198 E 83RD PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106418",
            "telephone_number": "219-945-0100",
            "fax_number": "219-940-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADEWINDS SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "219-945-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31000137A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003978A",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200714400",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100243200",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100248690",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249270",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100229500",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100243530",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200059730",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.