NPIMap

Organization Active NPI

Care Access Group, Inc-Waiver Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Indianapolis, IN
National Provider Identifier
1902547136
Registry record updated Apr 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
CARE ACCESS GROUP, INC-WAIVER SERVICES
Practice address
4151 E 40TH Street South Dr
Indianapolis, IN 46226-4415
Phone
(317) 213-7975
NPI assigned
Apr 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2022

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

Authorized official

Name
Shvonne WatsonNPI 1922710573
Title
Ceo
Phone
(317) 213-7975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

4151 E 40TH Street South Dr
Indianapolis, IN 46226-4415

Mailing address

4151 E 40TH Street South Dr
Indianapolis, IN 46226-4415
Phone (317) 213-7975

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL admin@careaccessgroup.org Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648944000000",
    "number": "1902547136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 E 40TH STREET SOUTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462264415",
            "telephone_number": "317-213-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 E 40TH STREET SOUTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462264415",
            "telephone_number": "317-213-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ACCESS GROUP, INC-WAIVER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-03",
        "last_updated": "2022-04-03",
        "certification_date": "2022-04-03",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SHVONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-213-7975"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@careaccessgroup.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4151 E 40th Street South Dr",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462264415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2022; 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.