Elkhart County Clubhouse

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELKHART COUNTY CLUBHOUSE

Practice address

114 S 5TH St
Goshen, IN 46528-3712

Phone

(574) 971-5210

Fax

(574) 971-5211

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Rich H Meyer

Title

Executive Director

Phone

(574) 202-3920

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1861851685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S 5TH ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465283712",
            "telephone_number": "574-971-5210",
            "fax_number": "574-971-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S 5TH ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465283712",
            "telephone_number": "574-971-5210",
            "fax_number": "574-971-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHART COUNTY CLUBHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "RICH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "574-202-3920"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Eby, PT
• Jeffrey A. Eck, M.D.
• Kimberly Ehret, MSW
• Elite Emergency Physicians Inc
• Elkhart County Chiropractic
• Elkhart TWP. Fire Dept.
• Margaret E Elmore
• Thelma Enriquez, BSW
• Angela Eileen Eppert, M.S. CCC-SLP
• Erika Farrell Counseling, LLC

• Community/Behavioral Health Agency in Goshen, IN
• Providers in Goshen, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.