NPIMap

Organization Active NPI

Voca of Indiana LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Indianapolis, IN
National Provider Identifier
1790803401
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
VOCA OF INDIANA LLC
Practice address
4114 Knollton Rd
Indianapolis, IN 46228-6302
Phone
(812) 273-0523
NPI assigned
Mar 27, 2007
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Denisha Connor
Title
Provider Enrollment
Phone
(502) 272-3422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

4114 Knollton Rd
Indianapolis, IN 46228-6302

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-7101
Phone (800) 866-0860

Other identifiers 1

IdentifierTypeStateIssuer
100244750BMedicaidIN

Other names 1

  • KNOLLTON Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790803401. Details of each certification follow.

  • CCN 15G447 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 15G447

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
VOCA CORPORATION OF INDIANA
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 27, 1989
Last certification
Apr 1, 2025
Beds
8
Ownership / control type
Private (proprietary)
Facility address
4114 Knollton Rd
Indianapolis, IN 46228

National Provider Directory

National Provider Directory
Tax ID family
Voca of Indiana LLC31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1790803401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227101",
            "telephone_number": "800-866-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 KNOLLTON RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462286302",
            "telephone_number": "812-273-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOCA OF INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "DENISHA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "502-272-3422"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100244750B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KNOLLTON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.