NPIMap

Organization Active NPI

Gibson County Area Rehabilitation Centers Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Princeton, IN
National Provider Identifier
1861606725
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
GIBSON COUNTY AREA REHABILITATION CENTERS INC
Practice address
1015 S Stout St
Princeton, IN 47670-2742
Phone
(812) 386-1042
Fax
(812) 386-7325
NPI assigned
May 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Daniel J Cockrum
Title
Executive Director
Phone
(812) 386-6312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X IN Primary

Addresses

Primary practice location

1015 S Stout St
Princeton, IN 47670-2742

Mailing address

PO Box 5
Princeton, IN 47670-0005
Phone (812) 386-6312

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861606725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "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": "1015 S STOUT ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476702742",
            "telephone_number": "812-386-1042",
            "fax_number": "812-386-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON COUNTY AREA REHABILITATION CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COCKRUM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-386-6312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.