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Residential CRF, Inc.

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Danville, IN

NPI 1881735447 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1881735447
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
Legal business name
RESIDENTIAL CRF, INC.
Practice address
2375 W US Highway 36
Danville, IN 46122-8764
Phone
(317) 745-0415
NPI assigned
Feb 8, 2007
Organization subpart
No

Authorized official

Name
Mr. Raymond A Mauger
Title
President
Phone
(765) 825-5129

Corporate family (same tax ID) 20

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

National Provider Directory

Tax ID family
Residential CRF Inc (21 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Yes

Addresses

Primary practice location

2375 W US Highway 36
Danville, IN 46122-8764

Mailing address

1117 N Central Ave
Connersville, IN 47331-2126
Phone (765) 825-5129

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881735447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 N CENTRAL AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312126",
            "telephone_number": "765-825-5129",
            "fax_number": "765-825-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 W US HIGHWAY 36",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461228764",
            "telephone_number": "317-745-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL CRF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAUGER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-825-5129",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IN

All providers in Danville, IN · Intellectual Disabilities Intermediate Care Facility in Indiana

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