Wabash Center, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

WABASH CENTER, INC.

Practice address

2000 Greenbush St
Lafayette, IN 47904-2255

Phone

(765) 423-5531

Fax

(765) 423-4235

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Moreland

Title

Chro

Phone

(765) 423-5531

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Wabash Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Wabash Center, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Lafayette, IN
  • NPI 1043434806
  NPD tax ID
• Wabash Center, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Lafayette, IN
  • NPI 1609090067
  NPD tax ID
• Wabash Center, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Lafayette, IN
  • NPI 1659595411
  NPD tax ID
• Wabash Center, Inc.

  • Behavior Analyst
  • Lafayette, IN
  • NPI 1669174132
  NPD tax ID

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1811074966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GREENBUSH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042255",
            "telephone_number": "765-423-5531",
            "fax_number": "765-423-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GREENBUSH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042255",
            "telephone_number": "765-423-5531",
            "fax_number": "765-423-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "MORELAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHRO",
        "authorized_official_telephone_number": "765-423-5531"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100229320 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Ruth Vyain, PHARMD, RPH
• Wabash Center, Inc.
• Wabash Center, Inc.
• Wabash Center, Inc.
• Wabash Center, Inc.
• Jacob Wade, NP
• Brandon James Wagner, DC
• John S Wagner, D.C.
• Julia Marie Wagner, D.C.
• Theodore T Wagner III, MD

• Developmentally Disabled Services Day Training Agency in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Developmentally Disabled Services Day Training Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.