NPIMap

Organization Active NPI

Gibault , Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Terre Haute, IN
National Provider Identifier
1871749119
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
32301 Issued in IN
Legal business name
GIBAULT , INC.
Practice address
6301 S US Highway 41
Terre Haute, IN 47802-4771
Phone
(812) 299-1156
Fax
(812) 298-3044
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
James M Sinclair, MSSW, JD
Title
President/Ceo
Phone
(812) 298-3002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 32301 IN Primary

Addresses

Primary practice location

6301 S US Highway 41
Terre Haute, IN 47802-4771

Mailing address

6301 S US Highway 41
PO Box 2316
Terre Haute, IN 47802-4771
Phone (812) 299-1156

Other identifiers 1

IdentifierTypeStateIssuer
45049194MedicaidKY

Other names 1

  • Gibault Children's Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gibault 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": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1871749119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 S US HIGHWAY 41",
            "address_2": "PO BOX 2316",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024771",
            "telephone_number": "812-299-1156",
            "fax_number": "812-298-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 S US HIGHWAY 41",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024771",
            "telephone_number": "812-299-1156",
            "fax_number": "812-298-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBAULT , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "812-298-3002",
        "authorized_official_credential": "MSSW, JD"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IN",
            "license": "32301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45049194",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibault Children's Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.