NPIMap

Organization Active NPI

Gibson Co. Area Rehabilitation Centers, Inc

  • Developmentally Disabled Services Day Training Agency
  • Princeton, IN
National Provider Identifier
1811224645
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
251C00000X Issued in IN
Legal business name
GIBSON CO. AREA REHABILITATION CENTERS, INC
Practice address
421 S Main St
Princeton, IN 47670-2443
Phone
(812) 385-4968
Fax
(812) 386-5208
NPI assigned
Nov 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Mrs. Kay Stephens
Title
Director of Children'S Services
Phone
(812) 385-4968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 251C00000X IN Primary

Addresses

Primary practice location

421 S Main St
Princeton, IN 47670-2443

Mailing address

PO Box 5
4207 W. State Road 64
Princeton, IN 47670-0005
Phone (812) 386-6312

Other identifiers 1

IdentifierTypeStateIssuer
251C00000XOtherINDEVELOPMENTAL DISABILITIES AGENCY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0864880Gibson County Area Rehabilitation Centers Inc421 South Main Street, Princeton, IN 47670Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Gibson County Area Rehabilitation Centers Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

421 S Main St
Princeton, IN 47670
Phone (812) 385-4968

4207 W State Road 64
Princeton, IN 47670

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1811224645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "address_2": "4207 W. STATE ROAD 64",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476700005",
            "telephone_number": "812-386-6312",
            "fax_number": "812-385-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S MAIN ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476702443",
            "telephone_number": "812-385-4968",
            "fax_number": "812-386-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON CO. AREA REHABILITATION CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR OF CHILDREN'S SERVICES",
        "authorized_official_telephone_number": "812-385-4968",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IN",
            "license": "251C00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVELOPMENTAL DISABILITIES AGENCY",
            "identifier": "251C00000X",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.